EHRENTRAUD JOHANNA EICHELBAUM (M.D.) – General Practice Physician, NPI 1255518486
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for EHRENTRAUD JOHANNA EICHELBAUM (M.D.)
1113, Lattimore Drive, Clermont, Lake County, Florida, 34711, United States
CLERMONT, FL 347119032
Phone: (941) 779-4869
Type: Mailing
212, South Florida Street, Bushnell, Sumter County, Florida, 33513, United States
BUSHNELL, FL 335136703
Phone: (352) 793-2441
Fax: (352) 793-3282
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $484.
Total Amount is formed as General ($484) + Research ($0) + Ownership ($0) = $484.
Last reported payment date: 2023-09-15 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($135).
Total Amount
$484
General + Research + Ownership
Payments
26
Total payment records
General Amount
$484
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-15
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: 2014-08-13
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 |
|---|---|---|---|---|
| I20140813001547 | I | General Practice | FL | 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 |
|---|---|---|---|---|
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 35 | 22 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 30 | 22 | $0 |
| 81002 | Urinalysis, manual test | 30 | 19 | $0 |
| 80076 | Liver function blood test panel | 29 | 22 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 34711)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL PRACTICE | FL | 83036 | Hemoglobin A1C level | 52 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL |
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