DR. EMILY LOUISE EXTEN (MD) – Orthopaedic Surgery Physician, NPI 1205051141

DR. EMILY LOUISE EXTEN (MD) is a healthcare provider. based in Mansfield, Ohio. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 35.129789 (OH). The NPI Number for DR. EMILY LOUISE EXTEN (MD) is 1205051141

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMILY LOUISE EXTEN (MD)
NPI
1205051141
Phone
(608) 417-6000
Address
335 GLESSNER AVE
Enumeration Date
16 April 2007
Last Update Date
25 January 2022

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
3307218232
Graduation Year
2007 (19 years ago)
PAC ID
2567627623
Group Practice PAC ID
6507934015
Professional Enrollment ID
I20170601002692
Address ID
OH442568748ME4975XRDXX304

Contacts

Secure Messaging
eexten172770@direct.ohiohealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

628 ORTHOPEDIC SURGERY in WI

Provider Addresses for DR. EMILY LOUISE EXTEN (MD)

  • 335 GLESSNER AVE

    MANSFIELD, OH 449032269

    Phone: (608) 417-6000

    Type: Mailing

  • 6408 COPPS AVE

    MONONA, WI 537163702

    Phone: (608) 417-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $2,267.

Total Amount is formed as General ($2,267) + Research ($0) + Ownership ($0) = $2,267.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Arthrex, Inc. ($1,515).

Total Amount

$2,267

General + Research + Ownership

Payments

23

Total payment records

General Amount

$2,267

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2017-06-01

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
I20170601002692IOrthopedic SurgeryOHTBD

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
73630X-ray of foot, minimum of 3 views202117$0
99213Established patient office or other outpatient visit, 20-29 minutes121102$0
99212Established patient office or other outpatient visit, 10-19 minutes5642$0
99214Established patient office or other outpatient visit, 30-39 minutes5046$0
99203New patient office or other outpatient visit, 30-44 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 44903)

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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: 6507934015View full group profile
NameSpecialtyState
Physician AssistantOH
Certified Clinical Nurse Specialist (Cns)ID
Orthopedic SurgeryOH
Physical Therapist In Private PracticeOH
Interventional Pain Management, Pain Management, Physical Medicine And Rehabilitation, Sports MedicineOH
Physician AssistantPA
-OH
Physician AssistantOH
Orthopedic SurgeryOH
Physician AssistantOH

Reviews

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Frequently asked questions

Can I use this page to confirm DR. EMILY LOUISE EXTEN (MD)'s NPI?
Yes. DR. EMILY LOUISE EXTEN (MD) is listed with NPI 1205051141 in the public NPI dataset.
Does the file indicate DR. EMILY LOUISE EXTEN (MD) is practicing under active NPI?
Directory data currently reports DR. EMILY LOUISE EXTEN (MD) as active.
What healthcare role does DR. EMILY LOUISE EXTEN (MD) hold?
Scheduling teams often label DR. EMILY LOUISE EXTEN (MD) under Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. EMILY LOUISE EXTEN (MD) based?
DR. EMILY LOUISE EXTEN (MD) is tied to Mansfield, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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