DR. ELLEN S NAIDORF (M.D.) – Dermatology Physician, NPI 1568488294
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 DERMATOLOGY in CT
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Provider Addresses for DR. ELLEN S NAIDORF (M.D.)
22, Long Ridge Road, Ridgeway, Stamford, Fairfield County, Connecticut, 06905, United States
STAMFORD, CT 069053812
Phone: (203) 964-1103
Fax: (203) 964-1486
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 8 Open Payments records for all available years, with a total value of $311.
Total Amount is formed as General ($311) + Research ($0) + Ownership ($0) = $311.
Last reported payment date: 2024-02-17 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($116).
Total Amount
$311
General + Research + Ownership
Payments
8
Total payment records
General Amount
$311
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-07-08
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 |
|---|---|---|---|---|
| I20130708000240 | I | Dermatology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 389 | 297 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 322 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 264 | 202 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 122 | 99 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 101 | 90 | $0 |
Insurance plans in this area (ZIP 06905)
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