LAURA M ENOMOTO (MD) – Surgical Oncology Physician, NPI 1023338688

LAURA M ENOMOTO (MD) is a healthcare provider. based in Hershey, Pennsylvania. specializing in SURGICAL ONCOLOGY. They hold the professional credentials MD. They hold a License No. MT197293 (PA). The NPI Number for LAURA M ENOMOTO (MD) is 1023338688

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
LAURA M ENOMOTO (MD)
NPI
1023338688
Phone
(717) 531-8521
Address
500 UNIVERSITY DR
Enumeration Date
7 June 2010
Last Update Date
19 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
3678841368
Group Practice PAC ID
5294646378
Professional Enrollment ID
I20191203001250
Address ID
TN377721203LE5779XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

155 SURGICAL ONCOLOGY in PA

Provider Addresses for LAURA M ENOMOTO (MD)

  • 500 UNIVERSITY DR

    HERSHEY, PA 170332360

    Phone: (717) 531-8521

    Type: Mailing

  • PO BOX 415000-MSC8159

    NASHVILLE, TN 372418159

    Phone: (865) 670-6199

    Fax: (865) 670-6198

    Type: Mailing

  • 1926 ALCOA HWY STE 300

    KNOXVILLE, TN 379201555

    Phone: (865) 544-9218

    Fax: (865) 305-8262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,139.

Total Amount is formed as General ($1,139) + Research ($0) + Ownership ($0) = $1,139.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($182).

Total Amount

$1,139

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2019-12-03

PECOS data refreshed: 2026-06-15

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
I20191203001250ISurgical OncologyTNTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes6344$0
99205New patient office or other outpatient visit, 60-74 minutes5353$0
99214Established patient office or other outpatient visit, 30-39 minutes3532$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or2818$0
38900Imaging of lymph nodes during surgery1616$0
View full utilization report →

Insurance plans in this area (ZIP 17033)

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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: 5294646378View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerSC
-TN
Certified Nurse Midwife (Cnm)TN
-TN
Cardiac Surgery, Thoracic SurgeryTN
H O S P I T A L I S TTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I use this page to confirm LAURA M ENOMOTO (MD)'s NPI?
Yes. LAURA M ENOMOTO (MD) is listed with NPI 1023338688 in the public NPI dataset.
Is LAURA M ENOMOTO (MD) listed as active for patients and plans?
The listing shows LAURA M ENOMOTO (MD) as active in the NPI system.
What is LAURA M ENOMOTO (MD)'s primary classification?
Surgical Oncology Physician is the headline specialty for LAURA M ENOMOTO (MD) here. Clinical services aligned with this taxonomy classification.
What area does LAURA M ENOMOTO (MD) serve?
LAURA M ENOMOTO (MD)'s listing highlights Hershey, Pennsylvania; more addresses can appear in NPPES.
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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