DR. WAYNE D ELLENBECKER (O.D.) – Optometrist, NPI 1710972450
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
268 OPTOMETRY in ID
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Provider Addresses for DR. WAYNE D ELLENBECKER (O.D.)
2140, West Riverstone Drive, Gibbs, Coeur d'Alene, Kootenai County, Idaho, 83814, United States
STE 101
COEUR D ALENE, ID 838144968
Phone: (208) 667-2255
Fax: (208) 765-5889
Type: Mailing
Bare Beauty Waxing by Alyssa, 1250, West Ironwood Drive, Blackwell, Coeur d'Alene, Kootenai County, Idaho, 83814, United States
SUITE 201
COEUR D ALENE, ID 838142679
Phone: (208) 667-2255
Fax: (208) 765-5889
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: 2006-10-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061025000530 | I | Optometry | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92250 | Photography of the retina | 229 | 224 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 97 | 93 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 87 | 87 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 39 | 22 | $0 |
| 92133 | Imaging of optic nerve | 33 | 30 | $0 |
Insurance plans in this area (ZIP 83814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | ID |
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