Ernest Gregory Eckenrode IV, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

10153 York Rd
Hunt Valley, MD 21030-3398

Phone

(410) 472-1006

NPI assigned

Sep 3, 2021

Last updated

Oct 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Dermatology of Maryland PCGroup PAC ID 9931489804, 43 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.97 of 100Reported as group

Quality

78.47

Promoting interoperability

83

Improvement activities

40

Cost

82.27

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ernest.eckenrode@adcs1.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Dermatology of Maryland PC

  • Dermatology Physician
  • Rockville, MD
  • NPI 1760856413
  Medicare reassignment Care Compare group
• Advanced Dermatology of Maryland PC

  • Dermatology Physician
  • Fort Washington, MD
  • NPI 1386479004
  NPD
• Advanced Dermatology of Maryland PC

  • Dermatology Physician
  • La Plata, MD
  • NPI 1477388197
  NPD
• Englert Dermatology, LLC

  dba North Baltimore Dermatology

  • Dermatology Physician
  • Sparks, MD
  • NPI 1619066206
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1659049526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 BUCKS SCHOOL HOUSE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373321",
            "telephone_number": "410-458-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10153 YORK RD",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210303398",
            "telephone_number": "410-472-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKENRODE",
        "first_name": "ERNEST",
        "middle_name": "GREGORY",
        "name_suffix": "IV",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Duvall
• Michele Jacqueline Dzula, OTR
• Earth Holistic Home Care, LLC
• Dazia Ebberts
• Charles Ross Eck Jr., MD
• Eden Adult Medical Daycare Center, Inc. (St.John Adult Medical Daycare, Inc.)
• Paula Peach Ehrmann, MS LCPC
• Shanice Elcock
• Rachel Ellinport
• Dymond Elliott

• Physician Assistant in Hunt Valley, MD
• Providers in Hunt Valley, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.