ETIENO USEN UMOBONG (M.D.) – Pulmonary Disease Physician, NPI 1467748657
Pulmonary Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,708 PULMONARY DISEASE in NY
Provider Addresses for ETIENO USEN UMOBONG (M.D.)
2005 TECHNOLOGY PKWY STE 300
MECHANICSBURG, PA 170509423
Phone: (717) 988-5864
Fax: (717) 221-5615
Type: Mailing
300 COMMUNITY DR
NORTH SHORE-LIJ OFFICE OF GRADUATE MEDICAL EDUCATION
MANHASSET, NY 110303816
Phone: (516) 562-4764
Type: Mailing
300 Community Dr
4DSU
Manhasset, NY 110303816
Phone: (516) 562-4764
Type: Location
4310 Londonderry Rd Ste 106
Harrisburg, PA 17109
Phone: (717) 988-8210
Fax: (717) 221-5260
Type: Location
1995 Technology Pkwy
Mechanicsburg, PA 170508522
Phone: (717) 231-8772
Fax: (717) 231-8435
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($142).
Total Amount
$142
General + Research + Ownership
Payments
2
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $142 |
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: 2020-07-23
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 |
|---|---|---|---|---|
| I20200723000256 | I | Pulmonary Disease | PA | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 152 | 57 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 66 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 32 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 36 | 36 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 32 | 32 | $0 |
Insurance plans in this area (ZIP 17050)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | TN | |
| Hospitalist, Internal Medicine | PA | |
| Internal Medicine | PA | |
| Endocrinology, Internal Medicine | PA |
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