ETHAN ITTNER (D.O.) – Psychiatry Physician, NPI 1083908248
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,134 PSYCHIATRY in CA
Provider Addresses for ETHAN ITTNER (D.O.)
3247 ESPLANADE
CHICO, CA 959734969
Phone: (970) 406-0008
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 115 Open Payments records for all available years, with a total value of $2,224.
Total Amount is formed as General ($2,224) + Research ($0) + Ownership ($0) = $2,224.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($350).
Total Amount
$2,224
General + Research + Ownership
Payments
115
Total payment records
General Amount
$2,224
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $350 |
| Bausch Health US, LLC | $228 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $152 |
| IDORSIA PHARMACEUTICALS US INC | $138 |
| Corium, LLC | $129 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150728006360 | I | Psychiatry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 319 | 155 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 264 | 148 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 74 | 74 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 20 | 18 | $0 |
Insurance plans in this area (ZIP 95973)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | CA | 90792 | Psychiatric diagnostic evaluation with medical services | 66 | 66 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | OH |
Reviews
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