ETHAN RAY FREEBORN (M.D.) – Emergency Medicine Physician, NPI 1336338656
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ETHAN RAY FREEBORN (M.D.)
159 HARTLEY WAY
PEARISBURG, VA 241342471
Phone: (540) 921-6000
Type: Location
2900 Lamb Circle
Radford, VA 24141
Phone: (540) 731-2866
Type: Location
Blacksburg, Cherokee County, South Carolina, United States
BLACKSBURG, VA 24060
Phone: (540) 552-4589
Type: Mailing
2900 LAMB CIRCLE
RADFORD, VA 24141
Phone: (540) 731-2866
Type: Location
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone: (540) 224-5353
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-12-31
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 |
|---|---|---|---|---|
| I20071231000574 | I | Emergency Medicine | VA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 364 | 352 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 240 | 227 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 101 | 101 | $0 |
| 99291 | Critical care, first 30-74 minutes | 70 | 70 | $0 |
Insurance plans in this area (ZIP 24134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NC | |
| Emergency Medicine | VA | |
| Emergency Medicine | VA | |
| Physician Assistant | VA | |
| Emergency Medicine | OH | |
| Emergency Medicine | VA | |
| Osteopathic Manipulative Medicine, Emergency Medicine | VA | |
| Nurse Practitioner | MI | |
| - | VA | |
| Emergency Medicine | FL |
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