MR. ETAI GOLDENBERG (MD) – Urology Physician, NPI 1669663605
Urology Physician
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Profile Insights
NPPES metrics only — not quality of care.
543 UROLOGY in IL
Provider Addresses for MR. ETAI GOLDENBERG (MD)
6812 State Route 162 Ste 200
Maryville, IL 620628562
Phone: (618) 288-0900
Type: Location
North Forty Drive, Frontenac, Saint Louis County, Missouri, 63131, United States
STE 375
ST. LOUIS, MO 63141
Phone: (314) 567-6071
Fax: (314) 567-3321
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 141 Open Payments records for all available years, with a total value of $51,134.
Total Amount is formed as General ($51,134) + Research ($0) + Ownership ($0) = $51,134.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Antares Pharma, Inc. ($29,722).
Total Amount
$51,134
General + Research + Ownership
Payments
141
Total payment records
General Amount
$51,134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Antares Pharma, Inc. | $29,722 |
| Endo Pharmaceuticals Inc. | $9,491 |
| Endo USA, Inc. | $8,566 |
| Boston Scientific Corporation | $1,986 |
| Calyxo, Inc. | $214 |
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: 2013-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130826000292 | I | Urology | MO | TBD |
| I20131108000881 | I | Urology | IL | 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 |
|---|---|---|---|---|
| J1071 | Injection, testosterone cypionate, 1 mg | 421 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 374 | 256 | $0 |
| 81003 | Automated urinalysis test | 265 | 208 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 209 | 49 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 91 | 77 | $0 |
Insurance plans in this area (ZIP 62062)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | MO | 51798 | Ultrasound measurement of bladder capacity after voiding | 96 | 89 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| N E U R O S U R G E R Y | MO | |
| Physician Assistant | IL | |
| Physician Assistant | OK | |
| N E U R O S U R G E R Y | MO | |
| - | MO | |
| Qualified Audiologist | MO | |
| Nurse Practitioner | MO | |
| U R O L O G Y | MO | |
| Otolaryngology, Plastic And Reconstructive Surgery | MO |
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