DR. CHARLOTTE L ELLENBOGEN (D.O.) – Infectious Disease Physician, NPI 1417914540
Infectious Disease Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
174 INFECTIOUS DISEASE in CO
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Provider Addresses for DR. CHARLOTTE L ELLENBOGEN (D.O.)
PO BOX 1449
WHEAT RIDGE, CO 800341449
Phone: (303) 425-9245
Fax: (303) 425-1378
Type: Mailing
3885, Upham Street, Wheat Ridge, Jefferson County, Colorado, 80033, United States
SUITE 200
WHEAT RIDGE, CO 800334880
Phone: (303) 425-9245
Fax: (303) 425-1378
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $133.
Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ViiV Healthcare Company ($70).
Total Amount
$133
General + Research + Ownership
Payments
6
Total payment records
General Amount
$133
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 |
|---|---|
| ViiV Healthcare Company | $70 |
| Gilead Sciences, Inc. | $32 |
| ABBVIE INC. | $32 |
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: 2014-07-17
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 |
|---|---|---|---|---|
| I20140717002127 | I | Infectious Disease | CO | 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 |
|---|---|---|---|---|
| J0878 | Injection, daptomycin, 1 mg | 80,650 | 22 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 888 | 23 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 293 | 56 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 194 | 124 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 117 | 97 | $0 |
Insurance plans in this area (ZIP 80034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Infectious Disease | CO | |
| Infectious Disease | CO | |
| Infectious Disease | CO | |
| Infectious Disease | CO | |
| Infectious Disease | CO | |
| Infectious Disease | CO | |
| Infectious Disease | CO | |
| Infectious Disease | CO | |
| Infectious Disease | CO |
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