DR. CLINTON ELLINGSON MD
NPI 1326332776
Ophthalmology - Retina Specialist in Idaho Falls, ID

Q: What is Clinton Ellingson's NPI number?

The NPI number for Clinton Ellingson is 1326332776. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Q: What is Clinton Ellingson's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Clinton Ellingson was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since June 02, 2011PECOS EnrolledAccepts Medicare Assignment

87.09/100

CMS Quality Rating

2100 PROVIDENCE WAY, IDAHO FALLS, ID 83404(208) 529-6600(208) 529-6602 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2026, Sep 16, 2025, Aug 5, 2021 and 7 more (10 updates tracked since 2017).

On this page

About Dr. Clinton Ellingson Md NPPES

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

DR. CLINTON ELLINGSON MD (NPI 1326332776) is an individual retina specialist in Idaho Falls, Idaho, licensed in Idaho (M-15285) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326332776

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. CLINTON ELLINGSONCredential: MD

Location Address2100 PROVIDENCE WAYIdaho Falls, ID 83404-4951

Mailing Address2100 Providence WayIdaho Falls, ID 83404-4951 · (208) 529-6600 · Fax (208) 529-6602

Phone(208) 529-6600

Fax(208) 529-6602

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2011

Enumeration DateJune 2, 2011

Last NPPES UpdateAugust 12, 202610 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1326332776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in ID · M-15285

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

2100 PROVIDENCE WAY, Idaho Falls, ID 83404

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Secondary Practice Locations 2

Location 1214 W 1500 S Ste 300Bountiful, UT 84010-7408 · Phone (801) 476-0494 · Fax (801) 677-1144

Location 24360 Washington BlvdOgden, UT 84403-1866 · Phone (801) 476-0494 · Fax (801) 479-3937

Other Identifiers 1

Medicaid1326332776ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Clinton Ellingson 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 ID4587979430

PECOS Enrollment IDI20210415002349, I20230719001721, I20251021001359

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

Medicare enrollment records show Clinton Ellingson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Eye Care Of Eastern Idaho

Same address

Ophthalmology

2100 PROVIDENCE WAY
Idaho Falls, ID 83404

Reassigned Medicare billing, Idaho and Wyoming enrollments
11 clinicians in this Medicare group

NPI 1790052603 (208) 529-6600

Mt Ogden Eye Center LLC

157 mi

Ophthalmology

4360 WASHINGTON BLVD
Ogden, UT 84403

Reassigned Medicare billing, Utah enrollment
26 clinicians in this Medicare group

NPI 1700927043 (801) 476-0494

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 17

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

36,540 services96 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

2,338 services787 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,614 services419 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

550 services153 patients

Injection, ranibizumab, 0.1 mg J2778

Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.

464 services24 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.

330 services288 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

306 services248 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

147 services109 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

125 services83 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.

109 services95 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

85 services85 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

70 services70 patients

Unclassified drugs J3490

Unclassified drugs are medications that don't fit into an existing category or class due to their unique properties or uses. They may be used for various conditions and their effects may differ widely. Always ask your healthcare provider for more information about these drugs.

41 services23 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

34 services28 patients

Removal of membrane of retina 67041

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

23 services23 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

21 services21 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130018

Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

87.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

56.98

Other Providers at the Same Location NPPES 7

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

ALEX J WRIGHT MD

Ophthalmology (Retina Specialist)