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

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: September 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2025, Aug 5, 2021, Jun 7, 2021 and 6 more (9 updates tracked since 2017).

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 3 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) 529-6600
Fax(208) 529-6602
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2011
Enumeration DateJune 2, 2011
Last NPPES UpdateSeptember 16, 20259 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
NPI 1326332776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses Licensed in ID · M-15285 Licensed in KY · 49026
Definition

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

Also ListedOphthalmologyTaxonomy 207W00000X · License 01080410A (IN), 49026 (KY)
2100 PROVIDENCE WAY, Idaho Falls, ID 83404

Secondary Practice Locations 3

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
Location 36149 E Columbia StEvansville, IN 47715 · Phone (812) 424-2020 · Fax (812) 424-3000

Other Identifiers 5

Medicaid1326332776WV
Medicaid0160321OH
Medicaid1326332776ID
Medicaid7100279250KY
Medicaid300021246IN

Accepted 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. 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 IDI20230719001721, 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.

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

Hospital Affiliations CMS Care Compare 2

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

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho 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
Quality100
Improvement Activities40
Cost56.98

Other Providers at the Same Location NPPES 6

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

Ophthalmology (Glaucoma Specialist)
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404
Ophthalmology (Retina Specialist)
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404
Optometrist
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404
Ophthalmology
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404
Ophthalmology (Cornea and External Diseases Specialist)
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404

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 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.

Where is Clinton Ellingson located?

Clinton Ellingson practices at 2100 Providence Way, Idaho Falls, ID 83404. The listed phone number is (208) 529-6600.

What is Clinton Ellingson's specialty?

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

Is Clinton Ellingson enrolled in Medicare?

Yes. Clinton Ellingson 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.

What insurance does Clinton Ellingson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 8 other insurers list Clinton Ellingson 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.

Is Clinton Ellingson affiliated with any hospitals?

According to CMS data, Clinton Ellingson is affiliated with Eastern Idaho Regional Medical Center and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Clinton Ellingson was last updated on September 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.