MAX EVAN WEINTRAUB ELLITHORPE MD
NPI 1982355020
Psychiatry & Neurology - Psychiatry in Madison, WI

Q: What is Max Ellithorpe's NPI number?

The NPI number for Max Ellithorpe is 1982355020. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Q: What is Max Ellithorpe's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Max Ellithorpe was last updated on July 12, 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.

Active since January 11, 2022PECOS Enrolled

600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6400 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2024, Jun 14, 2023, Apr 4, 2023 and 3 more (6 updates tracked since 2022).

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About Max Evan Weintraub Ellithorpe Md NPPES

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

MAX EVAN WEINTRAUB ELLITHORPE MD (NPI 1982355020) is an individual psychiatry provider in Madison, Wisconsin, licensed in Wisconsin (84286-20) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2023).

NPPES Registry Identity

NPI1982355020

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMAX EVAN WEINTRAUB ELLITHORPECredential: MD

Location Address600 HIGHLAND AVEMadison, WI 53792-1465

Mailing Address600 Highland AveMadison, WI 53792-0001 · (608) 263-6400

Phone(608) 263-6400

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2023

Enumeration DateJanuary 11, 2022

Last NPPES UpdateJuly 12, 20246 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1982355020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in WI · 84286-20

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

600 HIGHLAND AVE, Madison, WI 53792

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Max Evan Weintraub Ellithorpe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618336819

PECOS Enrollment IDI20241002001840

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 20

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

JASON ALAN CHRISTENSEN PHARMD

Pharmacist

600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792

Dane County (608) 662-0817

LAURA JEAN KOPPLIN MD, PHD

Ophthalmology