1. Home
  2. Directory
  3. Kentucky
  4. Madisonville
  5. Family Medicine
  6. NPI Profile

EDEN J ELFRINK DO
NPI 1841854031
Family Medicine in Madisonville, KY

Active since April 24, 2019PECOS EnrolledAccepts Medicare Assignment
444 S MAIN ST, MADISONVILLE, KY 42431(270) 821-4444(270) 821-9188 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2024, Nov 17, 2022, Jul 26, 2022 and 2 more (5 updates tracked since 2019).

About Eden J Elfrink Do NPPES

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

EDEN J ELFRINK DO (NPI 1841854031) is an individual family medicine provider in Madisonville, Kentucky, licensed in Kentucky (05286) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1841854031
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDEN J ELFRINKCredential: DO
Location Address444 S MAIN STMadisonville, KY 42431-2846
Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 688-1330 · Fax (270) 688-1338
Phone(270) 821-4444
Fax(270) 821-9188
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2019
Enumeration DateApril 24, 2019
Last NPPES UpdateJune 28, 20245 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1841854031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 05286✔ Licensed in MI · 5101025991
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
444 S MAIN ST, Madisonville, KY 42431
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1510 Ruby DrMadisonville, KY 42431-2168 · Phone (270) 399-7900 · Fax (270) 399-7910
Location 2419 S Coral StKalkaska, MI 49646-2503 · Phone (231) 258-7506
Location 3419 W State StMancelona, MI 49659-9651 · Phone (231) 587-9181

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Eden J Elfrink 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.

PECOS PAC ID9032595848
PECOS Enrollment IDI20221003000450, I20240708002904
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 8

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.

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.
185 services83 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
47 services31 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
33 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
21 services12 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

ROBERT G. HOLZKNECHT M.D.
Family Medicine
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (270) 821-4444
TORE STUEN P.T.
Physical Therapist
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (270) 825-0069
BRANDY M. SHELTON
Nurse Practitioner (Family)
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (270) 821-4444
JOHN J. FARMER M. D.
Family Medicine
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (270) 821-4444
TRI-STATE ADVANCED PAIN MANAGEMENT
Pain Medicine (Interventional Pain Medicine)
444 S MAIN ST, SUITE 133
MADISONVILLE, KY 42431
Hopkins County (270) 825-4732
DIANA M. STULC, PSC
Family Medicine
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (270) 825-4204
MADISONVILLE MRI LLC
Radiology (Diagnostic Radiology)
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (800) 467-2392
ALICIA F. TERRY PA-C
Physician Assistant
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (270) 821-4444

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 Eden Elfrink's NPI number?

The NPI number for Eden Elfrink is 1841854031. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Eden Elfrink located?

Eden Elfrink practices at 444 S Main St, Madisonville, KY 42431. The listed phone number is (270) 821-4444.

What is Eden Elfrink's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eden Elfrink enrolled in Medicare?

Yes. Eden Elfrink 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 Eden Elfrink accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and UnitedHealthcare list Eden Elfrink 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 Eden Elfrink affiliated with any hospitals?

According to CMS data, Eden Elfrink is affiliated with Munson Medical Center, Kalkaska Memorial Health Center and Charlevoix Area Hospital.

When was this NPI record last updated?

The NPPES record for Eden Elfrink was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.