ERIC ELLEBY – Family Medicine Physician, NPI 1942629787

ERIC ELLEBY is a healthcare provider. based in La crosse, Wisconsin. specializing in FAMILY PRACTICE. They hold a License No. 62672 (MN). The NPI Number for ERIC ELLEBY is 1942629787

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
ERIC ELLEBY
NPI
1942629787
Phone
(608) 392-7390
Address
815 10th St S
Enumeration Date
9 April 2014
Last Update Date
30 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2186665941
Graduation Year
2014 (12 years ago)
PAC ID
0840507547
Group Practice PAC ID
4880681303
Professional Enrollment ID
I20170918002628
Address ID
MN557239702CO20XXXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

Provider Addresses for ERIC ELLEBY

  • 815 10th St S

    LA Crosse, WI 546014764

    Phone: (608) 392-7390

    Type: Location

  • 191 Theater Rd

    Onalaska, WI 546508679

    Phone: (171) 583-8363

    Type: Location

  • PO BOX 1510

    EAU CLAIRE, WI 547021510

    Phone: (715) 838-3635

    Type: Mailing

  • 191 THEATER RD

    ONALASKA, WI 546508679

    Phone: (171) 583-8363

    Type: Location

  • 20 5TH ST SE

    COOK, MN 557239702

    Phone: (218) 666-5941

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-04-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($16).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-09-18

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
I20170918002628IFamily PracticeMNTBD

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
99282Emergency department visit with straightforward medical decision making9284$0
99283Emergency department visit with low level of medical decision making6357$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4625$0
99239Hospital discharge day management, more than 30 minutes2221$0
99284Emergency department visit with moderate level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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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: 4880681303View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify ERIC ELLEBY for billing?
Administrative and clinical systems typically use NPI 1942629787 for ERIC ELLEBY.
Does the public listing show ERIC ELLEBY as active?
ERIC ELLEBY's NPI record reflects an active status in NPPES.
What does the directory say ERIC ELLEBY does?
Insurance directories may phrase it differently, but here ERIC ELLEBY maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ERIC ELLEBY?
ERIC ELLEBY shows a connection to La Crosse, Wisconsin in registry-derived data.
Can I export ERIC ELLEBY's record?
You can download the official NPPES record; we summarize key fields for readability.

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