MICHAEL ROBIN ELLEN (MD) – Urology Physician, NPI 1043287980
Urology Physician
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Profile Insights
NPPES metrics only — not quality of care.
317 UROLOGY in WA
Provider Addresses for MICHAEL ROBIN ELLEN (MD)
PO BOX 850
PORT ANGELES, WA 983620146
Phone:
Type: Mailing
907 Georgiana St
Port Angeles, WA 983623911
Phone: (360) 565-0999
Fax: (360) 565-9251
Type: Location
8400 Washington Ave
Mount Pleasant, WI 534063735
Phone: (262) 884-4000
Type: Location
29373 NETWORK PL
CHICAGO, IL 606730544
Phone:
Type: Mailing
745 FLETCHER DR STE 301
ELGIN, IL 601234750
Phone: (847) 741-0398
Fax: (847) 741-0549
Type: Location
PO BOX 735044
CHICAGO, IL 606730544
Phone: (800) 326-2250
Type: Mailing
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 534063735
Phone: (262) 884-4000
Type: Location
Olympic Medical Center, 907, Georgiana Street, Port Angeles, Clallam County, Washington, 98362, United States
PORT ANGELES, WA 983623911
Phone: (360) 565-0999
Fax: (360) 565-9251
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: 2026-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190226002382 | I | Urology | SD | TBD |
| I20240821000712 | I | Urology | WI | TBD |
| I20260203003776 | I | Urology | IL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 261 | 193 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 129 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 128 | 97 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 34 | 33 | $0 |
| 55700 | Biopsy of prostate gland | 31 | 31 | $0 |
Insurance plans in this area (ZIP 98362)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Family Practice | WI | |
| - | OH | |
| - | WI |
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