ELLEN EISENBERG (DMD) – Oral and Maxillofacial Pathology Dentistry, NPI 1013913367
Oral and Maxillofacial Pathology Dentistry
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Profile Insights
NPPES metrics only — not quality of care.
32 ORAL SURGERY in CT
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Provider Addresses for ELLEN EISENBERG (DMD)
University of Connecticut Health Center, 263, Farmington Avenue, Farmington, Hartford County, Connecticut, 06030, United States
PROVIDER ENROLLMENT
FARMINGTON, CT 060302212
Phone: (860) 679-7503
Fax: (860) 679-1610
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)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-02-26
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 |
|---|---|---|---|---|
| I20100226000523 | I | Oral Surgery | CT | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 21 | 15 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 19 | 18 | $0 |
Insurance plans in this area (ZIP 06030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery | CT | |
| P A T H O L O G Y | CT | |
| Oral Surgery | MI | |
| Oral And Maxillofacial Pathology | VA | |
| Dentist, Undefined Physician Type (Specify) | TX | |
| D E N T I S T | CT |
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