DR. DAVID YEHUDA ELLENBERG (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1063749604
Retina Specialist (Ophthalmology) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
844 OPHTHALMOLOGY in MI
Provider Addresses for DR. DAVID YEHUDA ELLENBERG (M.D.)
24241 Michigan Ave
Dearborn, MI 481241801
Phone: (313) 561-7255
Fax: (313) 561-6137
Type: Location
Telegraph Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48301, United States
BINGHAM FARMS, MI 480254521
Phone: (248) 395-5175
Type: Mailing
6 Mile Road, Livonia, Wayne County, Michigan, 48239, United States
LIVONIA, MI 481523143
Phone: (734) 421-2020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($115).
Total Amount
$173
General + Research + Ownership
Payments
8
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
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: 2015-02-25
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 |
|---|---|---|---|---|
| I20150225000531 | I | Ophthalmology | MI | 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 |
|---|---|---|---|---|
| 92134 | Imaging of retina | 2,706 | 977 | $0 |
| 67028 | Injection of drug into eye | 1,666 | 216 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,581 | 1,026 | $0 |
| J3590 | Unclassified biologics | 1,401 | 166 | $0 |
| 92014 | Established patient complete exam of visual system | 1,269 | 879 | $0 |
Insurance plans in this area (ZIP 48124)
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Provider's Procedures
Group practice members
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