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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. WAYNE D ELLENBECKER O.D.
NPI 1710972450
Optometrist in Coeur D Alene, ID

Active since September 19, 2005PECOS Enrolled
1250 W IRONWOOD DR, SUITE 201, COEUR D ALENE, ID 83814(208) 667-2255(208) 765-5889 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wayne D Ellenbecker O.d. NPPES

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

DR. WAYNE D ELLENBECKER O.D. (NPI 1710972450) is an individual optometrist in Coeur D Alene, Idaho, licensed in Idaho (800) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1987).

NPPES Registry Identity

NPI1710972450
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. WAYNE D ELLENBECKERCredential: O.D.
Location Address1250 W IRONWOOD DR, SUITE 201Coeur D Alene, ID 83814-2679
Mailing Address2140 W Riverstone Dr, Ste 101Coeur D Alene, ID 83814-4968 · (208) 667-2255 · Fax (208) 765-5889
Phone(208) 667-2255
Fax(208) 765-5889
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1987
Enumeration DateSeptember 19, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1710972450 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 ID · 800
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.
1250 W IRONWOOD DR, Coeur D Alene, ID 83814
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Other Identifiers 1

Medicaid002689900ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Wayne D Ellenbecker O.d. 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 ID6305842501
PECOS Enrollment IDI20061025000530
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 7

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.

Photography of the retina 92250
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.
215 services209 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
96 services94 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.
95 services93 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
35 services34 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
35 services34 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.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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.

Other Providers at the Same Location NPPES 5

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

JERICHO HEALTH & WELLNESS, PC
Chiropractor
1250 W IRONWOOD DR, SUITE 301
COEUR D ALENE, ID 83814
Kootenai County (208) 664-5455
DR. CINDY L ELLENBECKER OD
Optometrist
1250 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 667-2255
ELLENBECKER EYE CLINIC, PLLC
Optometrist
1250 W IRONWOOD DR, SUITE 201
COEUR D ALENE, ID 83814
Kootenai County (208) 667-2255
DR. CURTIS EASTIN D.D.S.
Dentist (General Practice)
1250 W IRONWOOD DR, STE 216
COEUR D ALENE, ID 83814
Kootenai County (208) 667-4844
MS. JADYN LYNN SARGENT LMSW
Social Worker
1250 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 446-6430

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 Wayne Ellenbecker's NPI number?

The NPI number for Wayne Ellenbecker is 1710972450. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Wayne Ellenbecker located?

Wayne Ellenbecker practices at 1250 W Ironwood Dr Suite 201, Coeur D Alene, ID 83814. The listed phone number is (208) 667-2255.

What is Wayne Ellenbecker's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Wayne Ellenbecker enrolled in Medicare?

Yes. Wayne Ellenbecker 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 Wayne Ellenbecker accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Wayne Ellenbecker 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.

When was this NPI record last updated?

The NPPES record for Wayne Ellenbecker was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.