DR. RIMA ABRAHAM DEFATTA (M.D.) – Otolaryngology Physician, NPI 1790931707
Otolaryngology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
238 OTOLARYNGOLOGY in WI
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Provider Addresses for DR. RIMA ABRAHAM DEFATTA (M.D.)
Rivers Edge Trail, River Prairie, Altoona, Eau Claire County, Wisconsin, 54720, United States
ALTOONA, WI 547202755
Phone: (715) 828-2368
Fax: (715) 839-7796
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $2,040.
Total Amount is formed as General ($2,040) + Research ($0) + Ownership ($0) = $2,040.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: AERIN MEDICAL INC. ($1,083).
Total Amount
$2,040
General + Research + Ownership
Payments
50
Total payment records
General Amount
$2,040
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $1,083 |
| Inspire Medical Systems, Inc. | $254 |
| Medtronic, Inc. | $184 |
| GENZYME CORPORATION | $87 |
| Ethicon US, LLC | $82 |
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: 2011-12-05
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 |
|---|---|---|---|---|
| I20111205000218 | I | Otolaryngology | WI | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 930 | 21 | $0 |
| 95115 | Professional service for single injection of allergen | 736 | 56 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 720 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 277 | 147 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 250 | 32 | $0 |
Insurance plans in this area (ZIP 54720)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | WI | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 1131 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| O T O L A R Y N G O L O G Y | WI |
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