ETHAN GREENBERG (MD) – Ophthalmology Physician, NPI 1225416944

ETHAN GREENBERG (MD) is a healthcare provider. based in Sartell, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 65460 (MN). The NPI Number for ETHAN GREENBERG (MD) is 1225416944

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN GREENBERG (MD)
NPI
1225416944
Phone
(320) 229-5120
Address
2000 23RD ST S
Enumeration Date
14 May 2015
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6126727422
Graduation Year
2015 (11 years ago)
PAC ID
1759667561
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20190627000967
Address ID
MN554550363MI500XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

415 OPHTHALMOLOGY in MN

Provider Addresses for ETHAN GREENBERG (MD)

  • 2000 23RD ST S

    SARTELL, MN 563774765

    Phone: (320) 229-5120

    Fax: (320) 200-3235

    Type: Location

  • 6341 UNIVERSITY AVE NE

    FRIDLEY, MN 554324946

    Phone: (612) 626-5775

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $321.

Total Amount is formed as General ($321) + Research ($0) + Ownership ($0) = $321.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Alcon Vision LLC ($230).

Total Amount

$321

General + Research + Ownership

Payments

4

Total payment records

General Amount

$321

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-06-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190627000967IOphthalmologyMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10265$0
92014Established patient complete exam of visual system9287$0
92134Imaging of retina7261$0
92083Exam of visual field with extended testing6951$0
66984Removal of cataract with insertion of prosthetic lens6437$0
View full utilization report →

Insurance plans in this area (ZIP 56377)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Is there an official ID for ETHAN GREENBERG (MD) in U.S. healthcare records?
The official identifier for ETHAN GREENBERG (MD) is NPI 1225416944.
Active or inactive — what applies to ETHAN GREENBERG (MD)?
You should see ETHAN GREENBERG (MD) as active in CMS-hosted NPPES data.
How would a patient describe ETHAN GREENBERG (MD)'s focus?
For ETHAN GREENBERG (MD), the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is ETHAN GREENBERG (MD) associated with Sartell?
Public fields place ETHAN GREENBERG (MD) around Sartell, Minnesota. Always confirm the exact site before visiting.
Can I trust this NPI listing for ETHAN GREENBERG (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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