ELLEN HADDOCK MD
NPI 1851823454
Dermatology in Fremont, CA

Active since April 01, 2017PECOS EnrolledAccepts Medicare Assignment
84.92/100
CMS Quality Rating
3200 KEARNEY ST, FREMONT, CA 94538(510) 498-2374 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2024, Dec 1, 2022, Apr 1, 2017 (3 updates tracked since 2017).

About Ellen Haddock Md NPPES

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

ELLEN HADDOCK MD (NPI 1851823454) is an individual dermatology provider in Fremont, California, licensed in California (A157683) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Rafael, and is a graduate of University Of California, San Diego School Of Medicine (2017).

NPPES Registry Identity

NPI1851823454
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameELLEN HADDOCKCredential: MD
Location Address3200 KEARNEY STFremont, CA 94538-2299
Mailing AddressPo Box 276950Sacramento, CA 95827-6950 · (510) 498-2374 · Fax (415) 499-0290
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2017
Enumeration DateApril 1, 2017
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
NPI 1851823454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A157683
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3200 KEARNEY ST, Fremont, CA 94538

Secondary Practice Location 1

Location 15000 Civic Center DrSan Rafael, CA 94903-4184 · Phone (415) 499-0100 · Fax (415) 499-0290

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

Ellen Haddock Md 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 ID8123423423
PECOS Enrollment IDI20210825001419
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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
344 services60 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.
295 services176 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.
112 services112 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.
109 services68 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
107 services73 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
89 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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.

84.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.98
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
3200 KEARNEY ST
FREMONT, CA 94538
Orthopaedic Surgery (Hand Surgery)
3200 KEARNEY ST
FREMONT, CA 94538
Audiologist-Hearing Aid Fitter
3200 KEARNEY ST
FREMONT, CA 94538
Pediatrics
3200 KEARNEY ST
FREMONT, CA 94538
Podiatrist
3200 KEARNEY ST
FREMONT, CA 94538
Otolaryngology (Plastic Surgery within the Head & Neck)
3200 KEARNEY ST
FREMONT, CA 94538
Emergency Medicine (Pediatric Emergency Medicine)
3200 KEARNEY ST
FREMONT, CA 94538
Pediatrics
3200 KEARNEY ST
FREMONT, CA 94538

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 Haddock's NPI number?

The NPI number for Ellen Haddock is 1851823454. It was assigned to this individual provider in the NPPES registry on April 1, 2017.

Where is Ellen Haddock located?

Ellen Haddock practices at 3200 Kearney St, Fremont, CA 94538. The listed phone number is (510) 498-2374.

What is Ellen Haddock's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Ellen Haddock enrolled in Medicare?

Yes. Ellen Haddock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ellen Haddock was last updated on November 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.