JAMES ROBERT EBBEN (MD) – Family Medicine Physician, NPI 1497730865

JAMES ROBERT EBBEN (MD) is a healthcare provider. based in Green bay, Wisconsin. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 29793 (WI). The NPI Number for JAMES ROBERT EBBEN (MD) is 1497730865

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
JAMES ROBERT EBBEN (MD)
NPI
1497730865
Phone
(920) 430-4700
Address
1630 Commanche Ave
Enumeration Date
8 December 2005
Last Update Date
18 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
9204304888
Graduation Year
1987 (39 years ago)
PAC ID
5395874127
Group Practice PAC ID
8820900749
Professional Enrollment ID
I20100603000520
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for JAMES ROBERT EBBEN (MD)

  • 1630 Commanche Ave

    Green Bay, WI 543135753

    Phone: (920) 430-4700

    Type: Location

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    GREEN BAY, WI 543052487

    Phone: (920) 445-7226

    Fax: (920) 445-7238

    Type: Mailing

  • Bellin Health Titletown Sports Medicine and Orthopedics, 1970, South Ridge Road, Green Bay, Brown County, Wisconsin, 54304, United States

    GREEN BAY, WI 543044125

    Phone: (920) 430-4888

    Fax: (920) 430-4889

    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: 2010-06-03

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
I20100603000520IFamily PracticeWITBD

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
20610Aspiration and/or injection of fluid from large joint7124$0
99214Established patient office or other outpatient visit, 30-39 minutes6238$0
J1040Injection, methylprednisolone acetate, 80 mg2718$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 54313)

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Provider's Procedures

JAMES ROBERT EBBEN (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWI83036Hemoglobin A1C level7226
FAMILY MEDICINEWI90670Pneumococcal vaccine for injection into muscle2121

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: 8820900749View full group profile
NameSpecialtyState
Family PracticeWI
-WI
Nurse PractitionerWI
Physical Therapist In Private PracticeWI
-WI
-WI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerWA
Certified Registered Nurse Anesthetist (Crna)WI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

What federal number belongs to JAMES ROBERT EBBEN (MD)?
The federal identifier for JAMES ROBERT EBBEN (MD) is NPI 1497730865.
Does this profile mean JAMES ROBERT EBBEN (MD) is currently active?
Yes — JAMES ROBERT EBBEN (MD) appears active in the national provider directory.
Can you summarize JAMES ROBERT EBBEN (MD)'s specialty in plain language?
Clinically, the directory lists JAMES ROBERT EBBEN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JAMES ROBERT EBBEN (MD)?
The snapshot lists Green Bay, Wisconsin for JAMES ROBERT EBBEN (MD); download NPPES for the complete set.
Is JAMES ROBERT EBBEN (MD) a real provider?
This page reflects official NPPES data for NPI 1497730865. Always confirm identity and privileges with the practice and licensing boards.

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