ELENA M KWETKOWSKI (D.O.) – Family Medicine Physician, NPI 1023065711
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
406 FAMILY PRACTICE in RI
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Provider Addresses for ELENA M KWETKOWSKI (D.O.)
9, Ridgevale Court, Cranston, Providence County, Rhode Island, 02921, United States
CRANSTON, RI 029211444
Phone: (401) 828-5335
Fax: (401) 828-3914
Type: Mailing
191, Macarthur Boulevard, Quidnick, Anthony, Coventry, Kent County, Rhode Island, 02816, United States
COVENTRY, RI 028167244
Phone: (401) 828-5335
Fax: (401) 828-2914
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $12.
Total Amount is formed as General ($12) + Research ($0) + Ownership ($0) = $12.
Last reported payment date: 2023-06-14 • Largest payer in this snapshot: Organon LLC ($12).
Total Amount
$12
General + Research + Ownership
Payments
1
Total payment records
General Amount
$12
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $12 |
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: 2004-12-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041201000828 | I | Family Practice | RI | 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 |
|---|---|---|---|---|
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 22 | 13 | $0 |
| 83036 | Hemoglobin a1c level | 22 | 13 | $0 |
Insurance plans in this area (ZIP 02921)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | RI | 83036 | Hemoglobin A1C level | 19 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | RI | |
| Nurse Practitioner | MA | |
| Family Practice | RI | |
| Physician Assistant | RI | |
| Nurse Practitioner | RI | |
| - | RI | |
| - | GA | |
| Clinical Social Worker | RI | |
| Clinical Social Worker | RI | |
| Clinical Social Worker | RI |
Reviews
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