STEPHEN M. ELLESTAD DO
NPI 1124009634
Emergency Medicine in Decorah, IA

Active since November 10, 2005PECOS Enrolled
502 MOUND ST, DECORAH, IA 52101(563) 382-0118 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephen M. Ellestad Do NPPES

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

STEPHEN M. ELLESTAD DO (NPI 1124009634) is an individual emergency medicine provider in Decorah, Iowa, licensed in Iowa (02380) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124009634
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSTEPHEN M. ELLESTADCredential: DO
Location Address502 MOUND STDecorah, IA 52101-1508
Mailing Address502 Mound StDecorah, IA 52101-1508 · (563) 382-0118
Sole ProprietorYes
Enumeration DateNovember 10, 2005
Last NPPES UpdateApril 8, 2021
NPPES CertifiedApril 8, 2021
✔ NPI 1124009634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IA · 02380
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
502 MOUND ST, Decorah, IA 52101

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen M. Ellestad Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

9

Medicare enrollment records show Stephen Ellestad reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
401 1ST AVE
Toledo, IA 52342
  • Reassigned Medicare billing, Iowa enrollment
  • 177 clinicians in this Medicare group
Family Medicine
532 1ST ST NW
Britt, IA 50423
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1912938606 (Iowa)
  • 50 clinicians in this Medicare group
Rural Health
107 W HARRISON ST
Richland, IA 52585
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1376648329 (Iowa)
  • 79 clinicians in this Medicare group
Critical Access
606 NW 7TH ST
Pocahontas, IA 50574
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1346241213 (Iowa)
  • 52 clinicians in this Medicare group
Family Medicine
1202 W HOWARD ST
Knoxville, IA 50138
  • Reassigned Medicare billing, Iowa enrollment
  • 156 clinicians in this Medicare group
Surgery
1200 N 7TH ST
Chariton, IA 50049
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: Lucas County Health Center
  • Also billed through NPI 1588636351 (Iowa)
  • 36 clinicians in this Medicare group
Critical Access
311 S CLARK ST
Carroll, IA 51401
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1629460555 (Iowa)
  • 96 clinicians in this Medicare group
Critical Access
509 N MADISON ST
Bloomfield, IA 52537
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1487740486 (Iowa)
  • 50 clinicians in this Medicare group
Emergency Medicine
603 ROSARY DR
Corning, IA 50841
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1699856260 (Iowa)
  • 54 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
153 services139 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
106 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52101 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stephen Ellestad's NPI number?

The NPI number for Stephen Ellestad is 1124009634. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Stephen Ellestad located?

Stephen Ellestad practices at 502 Mound St, Decorah, IA 52101. The listed phone number is (563) 382-0118.

What is Stephen Ellestad's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Stephen Ellestad enrolled in Medicare?

Yes. Stephen Ellestad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephen Ellestad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Ellestad reassigns Medicare benefits to 9 organizations: Grinnell Regional Medical Center (Toledo, IA), Hancock County Health System (Britt, IA), Jefferson County Hospital (Richland, IA), Pocahontas Community Hospital (Pocahontas, IA), Knoxville Community Hospital Inc (Knoxville, IA) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Ellestad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Ellestad accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Stephen Ellestad 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 Stephen Ellestad was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.