DR. THOMAS RICHARD ELLENBERGER JR. M.D.
NPI 1508818410
Internal Medicine in Johnstown, PA

Q: What is Thomas Ellenberger's NPI number?

The NPI number for Thomas Ellenberger is 1508818410. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Thomas Ellenberger's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 17, 2006PECOS Enrolled

321 MAIN ST, SUITE 5D, JOHNSTOWN, PA 15901(814) 535-7885(814) 535-7079 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Thomas Richard Ellenberger Jr. M.d. NPPES

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

DR. THOMAS RICHARD ELLENBERGER JR. M.D. (NPI 1508818410) is an individual internal medicine provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD018414E) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508818410

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. THOMAS RICHARD ELLENBERGER JR.Credential: M.D.

Location Address321 MAIN ST, SUITE 5DJohnstown, PA 15901-1632

Mailing Address130 Rolling Hills RdJohnstown, PA 15905-5224 · (814) 535-7885 · Fax (814) 535-7079

Phone(814) 535-7885

Fax(814) 535-7079

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1508818410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD018414E

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

321 MAIN ST, Johnstown, PA 15901

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Other Identifiers 6

Other11978PA · Upmc Health Plan

Medicare UPINC27877

Other027796PA · Highmark

Medicaid0006378450001PA

Other0743755Umwa

Medicare ID-Type Unspecified027796

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Richard Ellenberger Jr. M.d. 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

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

Dlp Conemaugh Memorial Medical Center LLC

1.5 mi

Emergency Medicine

1086 FRANKLIN ST
Johnstown, PA 15905

Reassigned Medicare billing, Pennsylvania enrollment
103 clinicians in this Medicare group

NPI 1538562665 (814) 475-8600

Dlp Conemaugh Miners Medical Center LLC

26 mi

Critical Access

290 HAIDA AVENUE
Hastings, PA 16646

Reassigned Medicare billing, Pennsylvania enrollment
56 clinicians in this Medicare group

NPI 1184620486 (814) 247-3100

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

166 services144 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15901 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers40 claims83 services$5.98 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers11 claims14 services$1.06 avg. paid by Medicare

Male external catheter, with or without adhesive, disposable, each A4349

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims385 services$1.45 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers12 claims24 services$8.30 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each A4373

DME-Orthotic Devices · category DF010N

2 suppliers12 claims140 services$5.40 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier12 claims60 services$4.96 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

MRS. KIMBERLY R. WISNIEWSKI CRNP

Nurse Practitioner (Acute Care)

321 MAIN ST, SUITE 5 G
JOHNSTOWN, PA 15901

Cambria County (814) 535-7721

HONGCARES

Specialist

321 MAIN ST, SUITE 5-J
JOHNSTOWN, PA 15901

Cambria County (814) 533-8941

DONATO R CARUSI, M. D.

Eyewear Supplier

321 MAIN ST, SUITE 4B
JOHNSTOWN, PA 15901

Cambria County (814) 535-7661

KIMBERLY BESKID

Registered Nurse

321 MAIN ST
JOHNSTOWN, PA 15901

Cambria County (814) 254-4905

MD MASSOUD LLC

Family Medicine

321 MAIN ST, SUITE 3G
JOHNSTOWN, PA 15901

Cambria County (814) 535-7576

MRS. NADIA EVA BERNARDY MPAS, PA-C

Physician Assistant

321 MAIN ST, SUITE 3C
JOHNSTOWN, PA 15901

Cambria County (814) 535-6521

DR. YI YAN HONG M.D.

Specialist

321 MAIN ST, SUITE 5-J
JOHNSTOWN, PA 15901

Cambria County (814) 533-8941

PENN NEUROMUSCULAR DIAGNOSTICS, LLC

Clinic/Center (Physical Therapy)

321 MAIN ST, SUITE 5A, SEIFERT MEDICAL BUILDING
JOHNSTOWN, PA 15901

Cambria County (724) 801-8894

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 Thomas Ellenberger's NPI number?

The NPI number for Thomas Ellenberger is 1508818410. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Thomas Ellenberger located?

Thomas Ellenberger practices at 321 Main St Suite 5D, Johnstown, PA 15901. The listed phone number is (814) 535-7885.

What is Thomas Ellenberger's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Ellenberger enrolled in Medicare?

Yes. Thomas Ellenberger is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Ellenberger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Ellenberger reassigns Medicare benefits to 2 organizations: Dlp Conemaugh Memorial Medical Center LLC (Johnstown, PA) and Dlp Conemaugh Miners Medical Center LLC (Hastings, PA). 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 Thomas Ellenberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Ellenberger was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.