DR. MARC ETTENSOHN (M.D.) – Psychiatry Physician, NPI 1861753899
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,953 PSYCHIATRY in FL
Provider Addresses for DR. MARC ETTENSOHN (M.D.)
DEPARTMENT OF PSYCHIATRY
2995 DREW STREET
CLEARWATER, FL 33759
Phone:
Type: Mailing
UNIVERSITY OF FLORIDA 1600 SW ARCHER RD
GAINESVILLE, FL 326103003
Phone: (859) 494-2950
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 $6,456.
Total Amount is formed as General ($6,456) + Research ($0) + Ownership ($0) = $6,456.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($6,222).
Total Amount
$6,456
General + Research + Ownership
Payments
26
Total payment records
General Amount
$6,456
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $6,222 |
| Janssen Scientific Affairs, LLC | $142 |
| Brainsway USA INC | $76 |
| LivaNova USA, Inc. | $16 |
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: 2018-11-10
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 |
|---|---|---|---|---|
| I20181110000181 | I | Psychiatry | 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 |
|---|---|---|---|---|
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 148 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 67 | 28 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 66 | 23 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 41 | 15 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 32 | 16 | $0 |
Insurance plans in this area (ZIP 33759)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL |
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