ELLEN CYNTHIA BARTON DPM
NPI 1699263996
Podiatrist in Sturgeon Bay, WI
About Ellen Cynthia Barton Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN CYNTHIA BARTON DPM (NPI 1699263996) is an individual podiatrist in Sturgeon Bay, Wisconsin, licensed in Wisconsin (1173) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Door County Medical Center, and maintains a secondary practice location in Algoma.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
Ellen Cynthia Barton Dpm 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
3Medicare enrollment records show Ellen Barton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sturgeon Bay, WI 54235
- Reassigned Medicare billing, Wisconsin enrollment
- 131 clinicians in this Medicare group
Prairie Du Chien, WI 53821
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
Fox Point, WI 53217
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Door County Medical Center
Critical Access Hospitals · Sturgeon Bay, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54235 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STURGEON BAY, WI 54235
STURGEON BAY, WI 54235
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 Ellen Barton's NPI number?
The NPI number for Ellen Barton is 1699263996. It was assigned to this individual provider in the NPPES registry on April 23, 2018.
Where is Ellen Barton located?
Ellen Barton practices at 323 S 18th Ave, Sturgeon Bay, WI 54235. The listed phone number is (920) 746-0510.
What is Ellen Barton's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Ellen Barton enrolled in Medicare?
Yes. Ellen Barton 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 Ellen Barton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Barton reassigns Medicare benefits to 3 organizations: Door County Memorial Hospital (Sturgeon Bay, WI), Gundersen Clinic, Ltd. (Prairie Du Chien, WI) and Gundersen Lutheran Medical Center Inc (Fox Point, WI). 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 Ellen Barton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellen Barton accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and Network Health list Ellen Barton 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 Ellen Barton affiliated with any hospitals?
According to CMS data, Ellen Barton is affiliated with Door County Medical Center.
When was this NPI record last updated?
The NPPES record for Ellen Barton was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ellen Cynthia Barton, DPM · NPI 1699263996
Podiatrist provider in Sturgeon Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since April 23, 2018.
## Identity
- **NPI:** 1699263996 (Entity type: Individual)
- **Enumerated:** April 23, 2018
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **State license:** 1173 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 323 S 18TH AVE, Sturgeon Bay, WI 54235-1401
- **Phone:** (920) 746-0510
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Door County Memorial Hospital (NPI 1093743874, Sturgeon Bay, WI); Gundersen Clinic, Ltd. (NPI 1023064078, Prairie Du Chien, WI); Gundersen Lutheran Medical Center Inc (NPI 1053090456, Fox Point, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699263996) · Data from the CMS NPPES public registry.