JUSTIN CRAIG ELLERBROEK (M.D.) – Dermatology Physician, NPI 1790981207
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
125 DERMATOLOGY in IA
Provider Addresses for JUSTIN CRAIG ELLERBROEK (M.D.)
PO BOX 2400
WATERLOO, IA 507042400
Phone: (319) 234-6000
Fax: (319) 234-6001
Type: Mailing
3741 PHEASANT LN
WATERLOO, IA 507015215
Phone: (319) 234-6000
Fax: (319) 234-6001
Type: Location
312 9th St SW Ste 2000
Waverly, IA 506772909
Phone: (319) 234-6000
Fax: (319) 234-6001
Type: Location
441, East San Marnan Drive, Waterloo, Black Hawk County, Iowa, 50702, United States
SUITE 110
WATERLOO, IA 507025900
Phone: (319) 234-6000
Fax: (319) 234-6001
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $403.
Total Amount is formed as General ($403) + Research ($0) + Ownership ($0) = $403.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Janssen Biotech, Inc. ($169).
Total Amount
$403
General + Research + Ownership
Payments
19
Total payment records
General Amount
$403
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $169 |
| ABBVIE INC. | $86 |
| Dermavant Sciences, Inc. | $39 |
| PFIZER INC. | $31 |
| UCB, Inc. | $27 |
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: 2010-05-13
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 |
|---|---|---|---|---|
| I20100513000798 | I | Dermatology | IA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 4,041 | 704 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2,102 | 1,494 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,436 | 1,015 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,157 | 740 | $0 |
| 95044 | Test for allergy using skin patch | 648 | 18 | $0 |
Insurance plans in this area (ZIP 50704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Physician Assistant | IA |
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