DR. EZRA DOTTINO (D.P.M.) – Podiatrist, NPI 1700880580

DR. EZRA DOTTINO (D.P.M.) is a healthcare provider. based in Norwich, Connecticut. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 000686 (CT). The NPI Number for DR. EZRA DOTTINO (D.P.M.) is 1700880580

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. EZRA DOTTINO (D.P.M.)
NPI
1700880580
Phone
(860) 887-3538
Address
79 Wawecus St
Enumeration Date
9 June 2005
Last Update Date
12 September 2018

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8604891900
Graduation Year
1996 (30 years ago)
PAC ID
9739165978
Group Practice PAC ID
5496640831
Professional Enrollment ID
I20040628000892
Address ID
CT067907202TO333XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

266 PODIATRY in CT

Provider Addresses for DR. EZRA DOTTINO (D.P.M.)

  • 79 Wawecus St

    Suite 109

    Norwich, CT 063602160

    Phone: (860) 887-3538

    Fax: (860) 887-1394

    Type: Location

  • Echo Lake Road, Watertown, Litchfield County, Connecticut, 06779, United States

    WATERTOWN, CT 067956618

    Phone: (860) 274-1773

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-03-08 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($33).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-06-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040628000892IPodiatryCTTBD

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
11721Removal of fingernails or toenails, 6 or more nails2,220697$0
11056Removal of noncancer thickened skin growth, 2-4 growths386130$0
11055Removal of noncancer thickened skin growth, 1 growth24090$0
99213Established patient office or other outpatient visit, 20-29 minutes16393$0
11720Removal of fingernails or toenails, 1-5 nails13746$0
View full utilization report →

Insurance plans in this area (ZIP 06360)

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Provider's Procedures

DR. EZRA DOTTINO (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYCT11720Removal of tissue from 1 to 5 finger or toe nails23083

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: 5496640831View full group profile
NameSpecialtyState
P O D I A T R YCT
P O D I A T R YVA
P O D I A T R YCT
P O D I A T R YCT

Reviews

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Frequently asked questions

Is there an official ID for DR. EZRA DOTTINO (D.P.M.) in U.S. healthcare records?
The official identifier for DR. EZRA DOTTINO (D.P.M.) is NPI 1700880580.
Is DR. EZRA DOTTINO (D.P.M.) still an active registrant?
DR. EZRA DOTTINO (D.P.M.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. EZRA DOTTINO (D.P.M.)?
DR. EZRA DOTTINO (D.P.M.)'s specialty line reads Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. EZRA DOTTINO (D.P.M.) associated with Norwich?
Public fields place DR. EZRA DOTTINO (D.P.M.) around Norwich, Connecticut. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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