DR. PATRICE C ELLINGSON O.D.
NPI 1639163884
Optometrist in Fort Wayne, IN

Active since September 02, 2005PECOS Enrolled
1515 E PAULDING RD, FORT WAYNE, IN 46816(260) 744-2273(260) 744-4555 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Patrice C Ellingson O.d. NPPES

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

DR. PATRICE C ELLINGSON O.D. (NPI 1639163884) is an individual optometrist in Fort Wayne, Indiana, licensed in Indiana (18002448) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639163884
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. PATRICE C ELLINGSONCredential: O.D.
Location Address1515 E PAULDING RDFort Wayne, IN 46816
Mailing Address1515 E Paulding RdFort Wayne, IN 46816-1252 · (260) 744-2273 · Fax (260) 744-4555
Fax(260) 744-4555
Sole ProprietorNo
Enumeration DateSeptember 2, 2005
Last NPPES UpdateAugust 15, 2018
NPI 1639163884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IN · 18002448
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1515 E PAULDING RD, Fort Wayne, IN 46816

Other Identifiers 5

Medicaid100411890IN
Other410017027IN · Medicare Rr
Other000000243494IN · Anthem Nonpar
Medicaid100411890AIN
Other410040819IN · Medicare Rr

Medicare Participation & PECOS Enrollment Status

Patrice Ellingson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 16 times for 15 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 33 times for 31 patients

Extended exam of the back part of the eye with optic nerve drawing

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

This service was performed 12 times for 12 patients

Photography of the retina

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.

This service was performed 23 times for 23 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 46816 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $122.49
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $30.62
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.48
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $16.62
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist
1515 E PAULDING RD
FORT WAYNE, IN 46816
Optometrist
1515 E PAULDING RD
FORT WAYNE, IN 46816

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639163884, enumerated as an "individual" on September 02, 2005.

The provider is located at 1515 E PAULDING RD FORT WAYNE, IN 46816 and the phone number is (260) 744-2273.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.