DR. EKATERINA FEDOROVA (MD) – Surgery Physician, NPI 1003311671
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
849 GENERAL SURGERY in WI
Provider Addresses for DR. EKATERINA FEDOROVA (MD)
619 N SEGOE RD APT 301
MADISON, WI 537053156
Phone:
Type: Mailing
201 E UNIVERSITY PKWY DEPT OF
BALTIMORE, MD 212182829
Phone: (410) 554-2782
Type: Mailing
1 Medical Center Dr
Galena, IL 610368118
Phone: (815) 777-1340
Fax: (815) 776-7274
Type: Location
1400 EASTSIDE RD
PLATTEVILLE, WI 538189800
Phone: (608) 348-2331
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.
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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: 2026-02-03
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230808000315 | I | General Surgery | WI | TBD |
| I20260203000158 | I | General Surgery | IL | 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 |
|---|---|---|---|---|
| 50360 | Transplantation of donor kidney | 13 | 13 | $0 |
Insurance plans in this area (ZIP 53705)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WI | |
| Cardiovascular Disease (Cardiology) | WI | |
| Clinical Social Worker | WI | |
| Family Practice | WI | |
| O P T O M E T R Y | WI | |
| Physical Therapist In Private Practice | IA | |
| Nurse Practitioner | WI | |
| Occupational Therapist In Private Practice | WI | |
| Physical Therapist In Private Practice | IA | |
| Physician Assistant | WI |
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