DR. ELLEN K ATHENS (D.O.) – Family Medicine Physician, NPI 1760444228
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for DR. ELLEN K ATHENS (D.O.)
Beaumont Boulevard, Southfield, Oakland County, Michigan, 48034, United States
SOUTHFIELD, MI 480333849
Phone: (947) 522-1863
Fax: (947) 522-0307
Type: Mailing
Family Medicine, 15100, Plaza Drive South, Taylor, Wayne County, Michigan, 48180, United States
TAYLOR, MI 481805203
Phone: (734) 287-3700
Fax: (734) 287-1859
Type: Location
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: PFIZER INC. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $17 |
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: 2011-01-27
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 |
|---|---|---|---|---|
| I20110127000260 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 67 | 46 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 64 | 42 | $0 |
| 99497 | Advance care planning, first 30 minutes | 53 | 53 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 45 | 45 | $0 |
| G0008 | Administration of influenza virus vaccine | 17 | 17 | $0 |
Insurance plans in this area (ZIP 48033)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Family Practice | MI | |
| - | MI | |
| - | MI | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| - | MI |
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