DR. KENNETH A ELLENBOGEN (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1508966706
Clinical Cardiac Electrophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,930 INTERNAL MEDICINE in VA
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Provider Addresses for DR. KENNETH A ELLENBOGEN (MD)
Richmond Drive, Middletown, New Castle County, Delaware, United States
RICHMOND, VA 232911734
Phone: (804) 358-6100
Fax: (804) 342-7619
Type: Mailing
VCU Medical Center, 1250, East Marshall Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States
INTERNAL MEDICINE/CARDIOLOGY
RICHMOND, VA 232985051
Phone: (804) 828-7565
Fax: (804) 828-6082
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 101 Open Payments records for all available years, with a total value of $100,176.
Total Amount is formed as General ($100,176) + Research ($0) + Ownership ($0) = $100,176.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Medtronic, Inc. ($72,899).
Total Amount
$100,176
General + Research + Ownership
Payments
101
Total payment records
General Amount
$100,176
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $72,899 |
| Boston Scientific Corporation | $16,548 |
| GE HealthCare | $3,600 |
| Impulse Dynamics (USA) Inc. | $2,750 |
| Medical Device Business Services, Inc. | $2,500 |
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: 2010-03-30
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 |
|---|---|---|---|---|
| I20100330000671 | I | Cardiac Electrophysiology | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 2,449 | 1,889 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 492 | 459 | $0 |
| 93280 | Programming of dual lead pacemaker system | 367 | 334 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 365 | 332 | $0 |
| 93228 | Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 322 | 319 | $0 |
Insurance plans in this area (ZIP 23291)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC ELECTROPHYSIOLOGY | VA | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 42 | 37 |
| CARDIAC ELECTROPHYSIOLOGY | VA | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 17 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Orthopedic Surgery | VA | |
| O T O L A R Y N G O L O G Y | VA | |
| Diagnostic Radiology | VA | |
| Nurse Practitioner | VA | |
| Qualified Audiologist | VA | |
| Radiation Oncology | VA | |
| O T O L A R Y N G O L O G Y | VA |
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