RENEE R ELLERBROEK (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1962510099
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
190 PATHOLOGY in IA
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Provider Addresses for RENEE R ELLERBROEK (MD)
KKSO-AM (Des Moines), Fairview Drive, Pleasant Hill, Polk County, Iowa, 50327, United States
#LL3
DES MOINES, IA 503091414
Phone: (515) 241-8866
Fax: (515) 241-8855
Type: Mailing
4637 121ST ST
URBANDALE, IA 503232311
Phone: (515) 655-7080
Fax: (515) 655-7090
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Blueprint Medicines Corporation ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Blueprint Medicines Corporation | $21 |
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: 2007-03-30
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 |
|---|---|---|---|---|
| I20070330000157 | I | Pathology | IA | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,403 | 991 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 231 | 126 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 207 | 186 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 103 | 76 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 63 | 62 | $0 |
Insurance plans in this area (ZIP 50309)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | IA | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IA | |
| P A T H O L O G Y | IA | |
| P A T H O L O G Y | NY |
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