CODY JOSHUA ELLEFSEN DO
NPI 1578759304
Family Medicine in Spokane, WA
About Cody Joshua Ellefsen Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CODY JOSHUA ELLEFSEN DO (NPI 1578759304) is an individual family medicine provider in Spokane, Washington, licensed in Washington (OP00002282) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Coulee Medical Center, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Cody Joshua Ellefsen Do 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.
Medicare Billing Reassignments
7Medicare enrollment records show Cody Ellefsen reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spokane, WA 99218
- Reassigned Medicare billing, Washington enrollment
- 3 clinicians in this Medicare group
Spokane, WA 99218
- Reassigned Medicare billing, Washington enrollment
- 105 clinicians in this Medicare group
Newport, WA 99156
- Reassigned Medicare billing, Washington enrollment
- 36 clinicians in this Medicare group
Grand Coulee, WA 99133
- Reassigned Medicare billing, Washington enrollment
- 57 clinicians in this Medicare group
Walla Walla, WA 99362
- Reassigned Medicare billing, Washington enrollment
- 76 clinicians in this Medicare group
Puyallup, WA 98374
- Reassigned Medicare billing, Washington enrollment
- 91 clinicians in this Medicare group
Tacoma, WA 98409
- Reassigned Medicare billing, Washington enrollment
- 104 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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Coulee Medical Center
Critical Access Hospitals · Grand Coulee, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Cody Ellefsen's NPI number?
The NPI number for Cody Ellefsen is 1578759304. It was assigned to this individual provider in the NPPES registry on September 14, 2007.
Where is Cody Ellefsen located?
Cody Ellefsen practices at 203 E Dalke Ave Ste B, Spokane, WA 99208. The listed phone number is (509) 724-0198.
What is Cody Ellefsen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cody Ellefsen enrolled in Medicare?
Yes. Cody Ellefsen 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.
Which organizations bill Medicare for Cody Ellefsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cody Ellefsen reassigns Medicare benefits to 7 organizations: Jamison Family Medicine PLLC (Spokane, WA), Washington Pac Services PC (Spokane, WA), Pend Oreille County Public Hospital District No 1 (Newport, WA), Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 (Grand Coulee, WA), Privia Medical Group Washington, PLLC (Walla Walla, WA) and 2 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 Cody Ellefsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cody Ellefsen accept?
Health plans from Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Cody Ellefsen 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 Cody Ellefsen affiliated with any hospitals?
According to CMS data, Cody Ellefsen is affiliated with Coulee Medical Center.
When was this NPI record last updated?
The NPPES record for Cody Ellefsen was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Cody Joshua Ellefsen, DO · NPI 1578759304
Family Medicine physician in Spokane, Washington. Individual provider, active in the CMS NPPES registry since September 14, 2007.
## Identity
- **NPI:** 1578759304 (Entity type: Individual)
- **Enumerated:** September 14, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OP00002282 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 203 E DALKE AVE STE B, Spokane, WA 99208-8112
- **Phone:** (509) 724-0198 · **Fax:** (509) 724-0198
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Jamison Family Medicine PLLC (NPI 1922479088, Spokane, WA); Washington Pac Services PC (NPI 1336678168, Spokane, WA); Pend Oreille County Public Hospital District No 1 (NPI 1427264795, Newport, WA); Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 (NPI 1265422935, Grand Coulee, WA); Privia Medical Group Washington, PLLC (NPI 1780658419, Walla Walla, WA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Arizona College Of Osteopathic Medicine Mid Western University, class of 2006
## Record status
- **NPPES last updated:** June 24, 2015
- **Other identifiers:** Medicare OSCAR/certification 8869068 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1578759304) · Data from the CMS NPPES public registry.