ERIC ELLEBY
NPI 1942629787
Family Medicine in Cook, MN

Active since April 09, 2014PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2021, Mar 17, 2018, Jul 24, 2017 (3 updates tracked since 2017).

About Eric Elleby NPPES

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

ERIC ELLEBY (NPI 1942629787) is an individual family medicine provider in Cook, Minnesota, licensed in Minnesota (62672) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942629787
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIC ELLEBY
Location Address20 5TH ST SECook, MN 55723-9702
Mailing Address20 5th St SeCook, MN 55723-9702 · (218) 666-5941
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 9, 2014
Last NPPES UpdateJune 30, 20213 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
NPI 1942629787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 62672
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.

20 5TH ST SE, Cook, MN 55723

Secondary Practice Locations 2

Location 1815 10th St SLA Crosse, WI 54601-4764 · Phone (608) 392-7390
Location 2191 Theater RdOnalaska, WI 54650-8679 · Phone (171) 583-8363

Accepted 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

Eric Elleby 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 ID840507547
PECOS Enrollment IDI20170918002628
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 5

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.

Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
85 services81 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
40 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services16 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240040
Location750 East 34th StHibbing, MN 55746 · St. Louis County
Birthing friendly

Cook Hospital

Critical Access Hospitals · Cook, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241312
Location10 SE Fifth StCook, MN 55723 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55723 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims43 services$5.17 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$5.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$77.86 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$31.70 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist (General Practice)
20 5TH ST SE
COOK, MN 55723
Family Medicine
20 5TH ST SE, MEDICAL
COOK, MN 55723
Dentist (General Practice)
20 5TH ST SE
COOK, MN 55723
Internal Medicine
20 5TH ST SE
COOK, MN 55723
Family Medicine
20 5TH ST SE
COOK, MN 55723
Family Medicine
20 5TH ST SE
COOK, MN 55723
Dentist (General Practice)
20 5TH ST SE
COOK, MN 55723
Clinic/Center
20 5TH ST SE
COOK, MN 55723

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 Eric Elleby's NPI number?

The NPI number for Eric Elleby is 1942629787. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Eric Elleby located?

Eric Elleby practices at 20 5th St SE, Cook, MN 55723. The listed phone number is (218) 666-5941.

What is Eric Elleby's specialty?

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

Is Eric Elleby enrolled in Medicare?

Yes. Eric Elleby 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 Eric Elleby accept?

Health plans from Medica list Eric Elleby 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 Eric Elleby affiliated with any hospitals?

According to CMS data, Eric Elleby is affiliated with Essentia Health St Mary's Medical Center, University Medical Center-Mesabi/ Mesaba Clinics and Cook Hospital.

When was this NPI record last updated?

The NPPES record for Eric Elleby was last updated on June 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.