DR. ERIC ANDREW EISEN (M.D.) – Otolaryngology Physician, NPI 1104203793

DR. ERIC ANDREW EISEN (M.D.) is a healthcare provider. based in Bellevue, Washington. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. MD61047604 (WA). The NPI Number for DR. ERIC ANDREW EISEN (M.D.) is 1104203793

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIC ANDREW EISEN (M.D.)
NPI
1104203793
Phone
(425) 451-3710
Address
1800 116TH AVE NE STE 102
Enumeration Date
3 May 2015
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4258694855
Graduation Year
2015 (11 years ago)
PAC ID
3072812833
Group Practice PAC ID
8527972900
Professional Enrollment ID
I20200727001618
Address ID
WA980523858RE8301XNEXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

321 OTOLARYNGOLOGY in WA

Provider Addresses for DR. ERIC ANDREW EISEN (M.D.)

  • 1800 116TH AVE NE STE 102

    BELLEVUE, WA 980043043

    Phone: (425) 451-3710

    Fax: (425) 451-2636

    Type: Mailing

  • 8301 161ST AVE NE STE 102

    REDMOND, WA 980523858

    Phone: (425) 869-4855

    Fax: (425) 869-4858

    Type: Location

  • 1231 116TH AVE NE STE 930

    BELLEVUE, WA 980043804

    Phone: (425) 688-1916

    Fax: (425) 688-1901

    Type: Location

  • 12333 NE 130TH LN STE 440

    KIRKLAND, WA 980347467

    Phone: (425) 899-3838

    Fax: (425) 899-9844

    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 $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Neurent Medical Limited ($119).

Total Amount

$159

General + Research + Ownership

Payments

3

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-07-27

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
I20200727001618IOtolaryngologyWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9164$0
69210Removal of impacted ear wax8763$0
99203New patient office or other outpatient visit, 30-44 minutes6969$0
99214Established patient office or other outpatient visit, 30-39 minutes3934$0
92504Exam of ear using a microscope3530$0
View full utilization report →

Insurance plans in this area (ZIP 98004)

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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: 8527972900View full group profile
NameSpecialtyState
-WA
Orthopedic Surgery, Hand SurgeryWA
Occupational Therapist In Private PracticeWA
-WA
Orthopedic Surgery, Sports MedicineWA
-WA
-WA
Physician AssistantWA
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Can I verify DR. ERIC ANDREW EISEN (M.D.) with an NPI only?
You can start verification with NPI 1104203793 for DR. ERIC ANDREW EISEN (M.D.), then check state licensing separately.
Does the file indicate DR. ERIC ANDREW EISEN (M.D.) is practicing under active NPI?
Directory data currently reports DR. ERIC ANDREW EISEN (M.D.) as active.
What is DR. ERIC ANDREW EISEN (M.D.)'s primary classification?
Otolaryngology Physician is the headline specialty for DR. ERIC ANDREW EISEN (M.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. ERIC ANDREW EISEN (M.D.) list a practice location?
Patients near Bellevue, Washington may find DR. ERIC ANDREW EISEN (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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