DR. DAVID JASON ELLENBOGEN DPM
NPI 1831222090
Podiatrist - Foot & Ankle Surgery in Charlotte, NC

Q: What is David Ellenbogen's NPI number?

The NPI number for David Ellenbogen is 1831222090. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Q: What is David Ellenbogen's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for David Ellenbogen was last updated on February 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment

10035 PARK CEDAR DR STE 100, CHARLOTTE, NC 28210(704) 442-9011(704) 625-9484 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2023, Oct 26, 2020, Dec 31, 2019 and 2 more (5 updates tracked since 2018).

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About Dr. David Jason Ellenbogen Dpm NPPES

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

DR. DAVID JASON ELLENBOGEN DPM (NPI 1831222090) is an individual foot & ankle surgery provider in Charlotte, North Carolina, licensed in North Carolina (615) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of New York College Of Podiatric Medicine (2003).

NPPES Registry Identity

NPI1831222090

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. DAVID JASON ELLENBOGENCredential: DPM

Location Address10035 PARK CEDAR DR STE 100Charlotte, NC 28210-8910

Mailing Address10035 Park Cedar Dr Ste 100Charlotte, NC 28210-8910 · (704) 442-9011 · Fax (704) 625-9484

Phone(704) 442-9011

Fax(704) 625-9484

Sole ProprietorNo

Medical School CMSNew York College Of Podiatric MedicineGraduated 2003

Enumeration DateMarch 14, 2007

Last NPPES UpdateFebruary 14, 20235 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2021

✔ NPI 1831222090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in NC · 615

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 615 (NC)

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 615 (NC)

10035 PARK CEDAR DR STE 100, Charlotte, NC 28210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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. David Jason Ellenbogen Dpm 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 ID6709986581

PECOS Enrollment IDI20160527001372

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 12

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

Fluorescence wound imaging for bacteria, first anatomic site 0598T

Fluorescence wound imaging for bacteria is a non-invasive procedure that helps identify bacteria in a wound. A special device emits a safe, light glow onto the wound. This light causes bacteria to fluoresce, or shine, making them visible. It aids in targeted treatment planning.

97 services27 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

94 services23 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

91 services27 patients

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.

65 services27 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

58 services39 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

39 services19 patients

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046

This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.

30 services11 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

26 services15 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

25 services15 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

22 services13 patients

Partial removal of foot or heel bone 28122

This procedure involves the surgical removal of a portion of the foot or heel bone. It's typically done to treat conditions like arthritis, bone spurs, or injuries. The goal is to alleviate pain and improve mobility. After surgery, physical therapy may be necessary for full recovery.

18 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340171

Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%69 patients5/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

100%22 patients5/55-star benchmark: 98%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%42 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

4%591 patients1/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

1%591 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 5

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

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