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ELLEN EISENBERG DMD
NPI 1013913367
Dentist - Oral and Maxillofacial Pathology in Farmington, CT

Active since June 22, 2005PECOS Enrolled
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-2952(860) 679-4760 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2022, Jul 11, 2022, May 10, 2021 and 1 more (4 updates tracked since 2015).

About Ellen Eisenberg Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN EISENBERG DMD (NPI 1013913367) is an individual oral and maxillofacial pathology provider in Farmington, Connecticut, licensed in Connecticut (005451) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1973).

NPPES Registry Identity

NPI1013913367
Entity TypeIndividualFemale
Primary Taxonomy1223P0106X
Provider Legal NameELLEN EISENBERGCredential: DMD
Location Address263 FARMINGTON AVEFarmington, CT 06030-0001
Mailing Address263 Farmington Ave, Provider EnrollmentFarmington, CT 06030-2212 · (860) 679-7503 · Fax (860) 679-1610
Phone(860) 679-2952
Fax(860) 679-4760
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1973
Enumeration DateJune 22, 2005
Last NPPES UpdateSeptember 28, 20224 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1013913367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in CT · 005451
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 005451 (CT)
263 FARMINGTON AVE, Farmington, CT 06030
Open in Google Maps ↗

Other Identifiers 1

Medicaid2054518CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Eisenberg Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113062340
PECOS Enrollment IDI20100226000523
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE OF CONNECTICUT HEALTH CENTER
Pathology (Anatomic Pathology & Clinical Pathology)
263 FARMINGTON AVE, LABORATORY HBP GROUP
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-7503
MR. IAN THOMAS MCNEILL
Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8080
DR. LUIS CHAVEZ DE PAZ DDS, MS, PHD
Dentist (Endodontics)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2719
TARUNYA REDDY VEDERE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3245
ZACHARY TALLENT SOLOMON
Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467
MICHAEL CONNOLLY
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4733
EMILY WENG DO
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3158
ANDREW KEMERLEY DO
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Eisenberg's NPI number?

The NPI number for Ellen Eisenberg is 1013913367. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Ellen Eisenberg located?

Ellen Eisenberg practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-2952.

What is Ellen Eisenberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Ellen Eisenberg enrolled in Medicare?

Yes. Ellen Eisenberg is registered in the Medicare PECOS enrollment system.

What insurance does Ellen Eisenberg accept?

Health plans from Humana list Ellen Eisenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellen Eisenberg was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.