DR. HERMAN ROY ELLEMBERGER (M.D.) – Emergency Medicine Physician, NPI 1598754145

DR. HERMAN ROY ELLEMBERGER (M.D.) is a healthcare provider. based in Elmendorf afb, Alaska. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35-083393 (OH). The NPI Number for DR. HERMAN ROY ELLEMBERGER (M.D.) is 1598754145

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. HERMAN ROY ELLEMBERGER (M.D.)
NPI
1598754145
Phone
(907) 580-5555
Address
5955 ZEAMER AVE
Enumeration Date
17 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
9075622211
Graduation Year
2001 (25 years ago)
PAC ID
2062486020
Group Practice PAC ID
5193639912
Professional Enrollment ID
I20110826000577
Address ID
AK995084615AN3200XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

151 EMERGENCY MEDICINE in AK

Provider Addresses for DR. HERMAN ROY ELLEMBERGER (M.D.)

  • Elmendorf Hospital Heliport, Zeamer Avenue, Anchorage, Alaska, 99504, United States

    3 MDG, SGOEE

    ELMENDORF AFB, AK 995063702

    Phone: (907) 580-5555

    Type: Mailing

  • 3 MDG- SGOEE

    5955 ZEAMER AVE

    ELMENDORF AFB, AK 99506

    Phone: (907) 580-5555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110826000577IEmergency MedicineAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making262258$0
99284Emergency department visit with moderate level of medical decision making7773$0
99291Critical care, first 30-74 minutes6767$0
View full utilization report →

Insurance plans in this area (ZIP 99506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193639912View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. HERMAN ROY ELLEMBERGER (M.D.)?
DR. HERMAN ROY ELLEMBERGER (M.D.) — NPI 1598754145 — is the standard way to identify this listing.
Is DR. HERMAN ROY ELLEMBERGER (M.D.) listed as active for patients and plans?
The listing shows DR. HERMAN ROY ELLEMBERGER (M.D.) as active in the NPI system.
What healthcare role does DR. HERMAN ROY ELLEMBERGER (M.D.) hold?
Scheduling teams often label DR. HERMAN ROY ELLEMBERGER (M.D.) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. HERMAN ROY ELLEMBERGER (M.D.) list a practice location?
Patients near Elmendorf Afb, Alaska may find DR. HERMAN ROY ELLEMBERGER (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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