DR. TODD W ELLINGSON MD
NPI 1972637973
Emergency Medicine in Waukegan, IL

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
1324 N SHERIDAN RD, WAUKEGAN, IL 60085(847) 360-3000 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Todd W Ellingson Md NPPES

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

DR. TODD W ELLINGSON MD (NPI 1972637973) is an individual emergency medicine provider in Waukegan, Illinois, licensed in Oregon (MD27501) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Hillsboro Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2003).

NPPES Registry Identity

NPI1972637973
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TODD W ELLINGSONCredential: MD
Location Address1324 N SHERIDAN RDWaukegan, IL 60085-2161
Mailing Address530 W Dickens AveChicago, IL 60614-4596 · (773) 896-5902
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2003
Enumeration DateMarch 14, 2007
Last NPPES UpdateMay 18, 2018
✔ NPI 1972637973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OR · MD27501✔ Licensed in IL · 036.117290
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1324 N SHERIDAN RD, Waukegan, IL 60085

Other Identifiers 1

Medicaid274560OR

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

Dr. Todd W Ellingson Md 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 ID8325143316
PECOS Enrollment IDI20070921000194
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Todd Ellingson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Student Health
1 UNIVERSITY BLVD
La Grande, OR 97850
  • Reassigned Medicare billing, Oregon enrollment
  • 78 clinicians in this Medicare group
Neurology
364 SE 8TH AVE STE 101
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 691 clinicians in this Medicare group
Psychiatric Hospital
335 SE 8TH AVE
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 185 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.

Areas of Expertise CMS Part B claims 3

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 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.
73 services61 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
46 services45 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.
27 services22 patients

Hospital Affiliations CMS Care Compare

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

Hillsboro Medical Center

Acute Care Hospitals · Hillsboro, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380021
Location335 SE 8th AvenueHillsboro, OR 97123 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60085 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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.

Dietitian, Registered
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Specialist
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Physician Assistant
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Emergency Medicine
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Dietitian, Registered
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Emergency Medicine
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Anesthesiology
1324 N SHERIDAN RD
WAUKEGAN, IL 60085
Internal Medicine
1324 N SHERIDAN RD
WAUKEGAN, IL 60085

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 Todd Ellingson's NPI number?

The NPI number for Todd Ellingson is 1972637973. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Todd Ellingson located?

Todd Ellingson practices at 1324 N Sheridan Rd, Waukegan, IL 60085. The listed phone number is (847) 360-3000.

What is Todd Ellingson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Todd Ellingson enrolled in Medicare?

Yes. Todd Ellingson 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 Todd Ellingson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Ellingson reassigns Medicare benefits to 3 organizations: Oregon Health & Science University (La Grande, OR), Tuality Medical Group LLC (Hillsboro, OR) and Tuality Healthcare (Hillsboro, OR). 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 Todd Ellingson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Ellingson accept?

Health plans from Moda Health Plan, Inc. list Todd Ellingson 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 Todd Ellingson affiliated with any hospitals?

According to CMS data, Todd Ellingson is affiliated with Hillsboro Medical Center.

When was this NPI record last updated?

The NPPES record for Todd Ellingson was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.