Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KENNETH S ETRA M.D.
NPI 1225012313
Otolaryngology in Great Neck, NY

Active since December 01, 2005PECOS Enrolled
560 NORTHERN BLVD, GREAT NECK, NY 11021(516) 487-6200(516) 487-6329 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenneth S Etra M.d. NPPES

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

DR. KENNETH S ETRA M.D. (NPI 1225012313) is an individual otolaryngology provider in Great Neck, New York, licensed in New York (127393) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Tufts University School Of Medicine (1975).

NPPES Registry Identity

NPI1225012313
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KENNETH S ETRACredential: M.D.
Location Address560 NORTHERN BLVDGreat Neck, NY 11021-5100
Mailing Address560 Northern BlvdGreat Neck, NY 11021-5100 · (516) 487-6200 · Fax (516) 487-6329
Fax(516) 487-6329
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1975
Enumeration DateDecember 1, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1225012313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NY · 127393
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

560 NORTHERN BLVD, Great Neck, NY 11021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth S Etra M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274593280
PECOS Enrollment IDI20041014000249
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.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,725 services1,044 patients
Test for eardrum and muscle function 92550
This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.
1,086 services884 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
1,044 services866 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
674 services617 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
598 services434 patients
Placement of ear probe for computerized measurement of sound with interpretation and report 92587
This procedure involves placing a small probe in your ear to measure sounds. It's a painless process that helps doctors understand your hearing ability. The results will be interpreted and a report will be provided for further assessment.
561 services492 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Specialist
560 NORTHERN BLVD
GREAT NECK, NY 11021
Specialist
560 NORTHERN BLVD, STE 102
GREAT NECK, NY 11021
Specialist
560 NORTHERN BLVD, STE 102
GREAT NECK, NY 11021
Allergy & Immunology (Allergy)
560 NORTHERN BLVD, SUITE 209
GREAT NECK, NY 11021
Internal Medicine
560 NORTHERN BLVD, SUITE 210
GREAT NECK, NY 11021
Internal Medicine (Endocrinology, Diabetes & Metabolism)
560 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine (Endocrinology, Diabetes & Metabolism)
560 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine (Endocrinology, Diabetes & Metabolism)
560 NORTHERN BLVD
GREAT NECK, NY 11021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225012313, enumerated as an "individual" on December 01, 2005.

The provider is located at 560 NORTHERN BLVD GREAT NECK, NY 11021 and the phone number is (516) 487-6200.

Otolaryngology with taxonomy code 207Y00000X.

Kenneth Etra is affiliated with: NORTH SHORE UNIVERSITY HOSPITAL.