ETHAN B. FOXMAN (M.D.) – Neuroradiology Physician, NPI 1225014731

ETHAN B. FOXMAN (M.D.) is a healthcare provider. based in East hartford, Connecticut. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 213770 (MA). The NPI Number for ETHAN B. FOXMAN (M.D.) is 1225014731

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN B. FOXMAN (M.D.)
NPI
1225014731
Phone
(860) 291-6554
Address
111 FOUNDERS PLZ
Enumeration Date
16 December 2005
Last Update Date
15 January 2018

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4137819000
Graduation Year
1997 (29 years ago)
PAC ID
1355338799
Group Practice PAC ID
9537118609
Professional Enrollment ID
I20050509000850
Address ID
MA011071139SP3640XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

805 DIAGNOSTIC RADIOLOGY in CT

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Provider Addresses for ETHAN B. FOXMAN (M.D.)

  • 111 FOUNDERS PLZ

    SUITE 400

    EAST HARTFORD, CT 061083212

    Phone: (860) 291-6554

    Fax: (860) 783-5733

    Type: Mailing

  • 85, Seymour Street, Jefferson–Seymour Historic District, Downtown Hartford, Coltville, Hartford, Connecticut, 06106, United States

    SUITE 200

    HARTFORD, CT 061065501

    Phone: (860) 289-3375

    Fax: (860) 560-2849

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2023-08-17 • Largest payer in this snapshot: Olympus America Inc. ($112).

Total Amount

$112

General + Research + Ownership

Payments

1

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Olympus America Inc.$112
View all Open Payments →|Open Payments Risk Radar →

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: 2009-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040428000680IDiagnostic RadiologyCTTBD
I20050509000850IDiagnostic RadiologyMATBD
I20090428000400IDiagnostic RadiologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml29,910173$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml13,470128$0
72148Mri scan of lower spinal canal without contrast214213$0
70450Ct scan head or brain without contrast197193$0
71250Ct scan of chest without contrast178164$0
View full utilization report →

Insurance plans in this area (ZIP 06108)

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Provider's Procedures

ETHAN B. FOXMAN (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCT74177CT scan of abdomen and pelvis with contrast1919

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537118609View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyCT
Diagnostic RadiologyMA
-CT
Diagnostic RadiologyMA
Diagnostic RadiologyMA
Diagnostic RadiologyMA
-MA
-CT
Diagnostic RadiologyMA
Diagnostic RadiologyCT

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Frequently asked questions

Can I verify ETHAN B. FOXMAN (M.D.) with an NPI only?
You can start verification with NPI 1225014731 for ETHAN B. FOXMAN (M.D.), then check state licensing separately.
Is ETHAN B. FOXMAN (M.D.) still practicing?
ETHAN B. FOXMAN (M.D.) is currently listed as active in the public NPI registry.
What is ETHAN B. FOXMAN (M.D.)'s specialty?
The listing groups ETHAN B. FOXMAN (M.D.) with Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
Where is ETHAN B. FOXMAN (M.D.) based?
ETHAN B. FOXMAN (M.D.) is tied to East Hartford, Connecticut in the data we show; additional addresses may exist on the full record.
Is the information about ETHAN B. FOXMAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."