PETER D ENNIS (M.D.) – Hematology & Oncology Physician, NPI 1508893926
Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
784 HEMATOLOGY/ONCOLOGY in PA
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Provider Addresses for PETER D ENNIS (M.D.)
Crozer-Keystone Health, 30, Lawrence Road, Marple Township, Delaware County, Pennsylvania, 19007, United States
SUITE 201
BROOMALL, PA 190083301
Phone: (610) 492-5900
Fax: (610) 492-5903
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 84 Open Payments records for all available years, with a total value of $1,828.
Total Amount is formed as General ($1,828) + Research ($0) + Ownership ($0) = $1,828.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($231).
Total Amount
$1,828
General + Research + Ownership
Payments
84
Total payment records
General Amount
$1,828
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $231 |
| GENZYME CORPORATION | $154 |
| PFIZER INC. | $138 |
| ABBVIE INC. | $94 |
| Celgene Corporation | $86 |
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: 2010-09-28
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 |
|---|---|---|---|---|
| I20100928000532 | I | Hematology/Oncology | 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 |
|---|---|---|---|---|
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 15,010 | 15 | $0 |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 12,240 | 13 | $0 |
| J1437 | Injection, ferric derisomaltose, 10 mg | 2,500 | 23 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,434 | 50 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 783 | 246 | $0 |
Insurance plans in this area (ZIP 19008)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HEMATOLOGY/ONCOLOGY | PA | 96415 | Infusion of chemotherapy into a vein | 44 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| Hospice/Palliative Care, Family Practice | PA | |
| Hematology/Oncology, Internal Medicine | PA | |
| - | PA | |
| Hematology/Oncology, Medical Oncology | PA | |
| H E M A T O L O G Y/ O N C O L O G Y | PA |
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