ETHAN ROBERT HARLOW (MD) – Orthopaedic Surgery Physician, NPI 1013414101

ETHAN ROBERT HARLOW (MD) is a healthcare provider. based in Morrisville, Vermont. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 0420017684 (VT). The NPI Number for ETHAN ROBERT HARLOW (MD) is 1013414101

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN ROBERT HARLOW (MD)
NPI
1013414101
Phone
(802) 888-8405
Address
90 DOCTOR TINKER ST
Enumeration Date
6 April 2018
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
8028888405
Graduation Year
2018 (8 years ago)
PAC ID
9537605563
Group Practice PAC ID
9234125766
Professional Enrollment ID
I20240725002542
Address ID
VT056618972MO555XXHWYX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

77 ORTHOPEDIC SURGERY in VT

Provider Addresses for ETHAN ROBERT HARLOW (MD)

  • 90 DOCTOR TINKER ST

    MORRISVILLE, VT 056619396

    Phone: (802) 888-8405

    Fax: (802) 888-8406

    Type: Location

  • 11100 Euclid Ave

    Cleveland, OH 441061716

    Phone: (802) 363-6346

    Type: Location

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $5,998.

Total Amount is formed as General ($5,998) + Research ($0) + Ownership ($0) = $5,998.

Last reported payment date: 2024-06-15 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($2,841).

Total Amount

$5,998

General + Research + Ownership

Payments

31

Total payment records

General Amount

$5,998

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-15

Latest reported date

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: 2024-07-25

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
I20240725002542IOrthopedic SurgeryVTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05661)

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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: 9234125766View full group profile
NameSpecialtyState
General SurgeryNH
-VT
Physical Therapist In Private PracticeVT
Orthopedic SurgerySC
Physician AssistantVT
Emergency MedicineAK
Orthopedic SurgeryVT
O B S T E T R I C S/ G Y N E C O L O G YVT
Emergency MedicineAK
Physician AssistantVT

Reviews

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Frequently asked questions

Does ETHAN ROBERT HARLOW (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ETHAN ROBERT HARLOW (MD) uses 1013414101.
Does the file indicate ETHAN ROBERT HARLOW (MD) is practicing under active NPI?
Directory data currently reports ETHAN ROBERT HARLOW (MD) as active.
What is ETHAN ROBERT HARLOW (MD)'s primary classification?
Orthopaedic Surgery Physician is the headline specialty for ETHAN ROBERT HARLOW (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for ETHAN ROBERT HARLOW (MD)?
ETHAN ROBERT HARLOW (MD)'s geographic hint is Morrisville, Vermont in our summary view.
Why does ETHAN ROBERT HARLOW (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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