DR. HAILEY SAM EISNER (D.O.) – Urology Physician, NPI 1154771285
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,310 UROLOGY in CA
Provider Addresses for DR. HAILEY SAM EISNER (D.O.)
300 HILLMONT AVE STE 401
VENTURA, CA 930031651
Phone: (805) 652-6201
Type: Location
3601 W 13 MILE RD STE 2
ROYAL OAK, MI 480736712
Phone: (248) 898-0898
Type: Location
3601 W 13 Mile Rd Ste 2
Royal Oak, MI 480736712
Phone: (248) 898-0898
Type: Location
1000 Harrington St
Mount Clemens, MI 480432920
Phone: (586) 493-8864
Type: Location
McLaren Macomb, 1000, Harrington Street, Mount Clemens, Clinton Township, Macomb County, Michigan, 48043, United States
MOUNT CLEMENS, MI 480432920
Phone: (586) 493-8864
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $6,242.
Total Amount is formed as General ($6,242) + Research ($0) + Ownership ($0) = $6,242.
Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($6,000).
Total Amount
$6,242
General + Research + Ownership
Payments
12
Total payment records
General Amount
$6,242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $6,000 |
| Endo Pharmaceuticals Inc. | $78 |
| Boston Scientific Corporation | $55 |
| Endo USA, Inc. | $49 |
| COLOPLAST CORP | $40 |
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: 2024-05-13
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20240513003744 | I | Urology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 93003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| N E U R O S U R G E R Y | NY | |
| Family Practice | CA | |
| Family Practice | MA | |
| Anesthesiology, Critical Care (Intensivists), Internal Medicine | CA |
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