DR. INNOCENT CHUKWUMA EZENWA (MD) – Sleep Medicine (Internal Medicine) Physician, NPI 1699891192
Sleep Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
384 INTERNAL MEDICINE in VT
Provider Addresses for DR. INNOCENT CHUKWUMA EZENWA (MD)
189 PROUTY DR
NEWPORT, VT 058559326
Phone: (802) 334-4108
Fax: (802) 334-4109
Type: Mailing
2115 GREEN VISTA DR STE 101
SPARKS, NV 894318516
Phone: (775) 557-4900
Fax: (775) 557-7240
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-11-09 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($56).
Total Amount
$56
General + Research + Ownership
Payments
3
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $56 |
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: 2015-10-16
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 |
|---|---|---|---|---|
| I20151016001297 | I | Internal Medicine | NV | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 450 | 313 | $0 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 172 | 93 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 159 | 159 | $0 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 80 | 77 | $0 |
| 95810 | Sleep study in sleep lab (6 years or older) | 36 | 35 | $0 |
Insurance plans in this area (ZIP 05855)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | VT | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 57 | 54 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NV |
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