DR. MARTIN H JR. ELLBOGEN (MD) – Infectious Disease Physician, NPI 1578580593

DR. MARTIN H JR. ELLBOGEN (MD) is a healthcare provider. based in Casper, Wyoming. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 6404A (WY). The NPI Number for DR. MARTIN H JR. ELLBOGEN (MD) is 1578580593

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARTIN H JR. ELLBOGEN (MD)
NPI
1578580593
Phone
(307) 234-8700
Address
1450 E A ST
Enumeration Date
16 July 2006
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3603852200
Graduation Year
1994 (32 years ago)
PAC ID
2062413917
Group Practice PAC ID
4789593708
Professional Enrollment ID
I20181210003422
Address ID
WA983682443PO834XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

169 INTERNAL MEDICINE in WY

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Provider Addresses for DR. MARTIN H JR. ELLBOGEN (MD)

  • 1450, East A Street, Casper, Natrona County, Wyoming, 82601, United States

    SUITE 1

    CASPER, WY 826012239

    Phone: (307) 234-8700

    Fax: (307) 234-8750

    Type: Location

  • 1450 E A St

    Suite 1

    Casper, WY 826012239

    Phone: (307) 234-8700

    Fax: (307) 234-8750

    Type: Location

  • 2698, Ardon Lane, Casper, Natrona County, Wyoming, 82609, United States

    CASPER, WY 826093902

    Phone: (307) 237-7806

    Type: Mailing

  • 834 SHERIDAN ST

    PORT TOWNSEND, WA 983682443

    Phone: (360) 379-2260

    Fax: (360) 379-8352

    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: 2018-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070120000100IInfectious DiseaseWYTBD
I20181210003422IInternal MedicineWATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11667$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11173$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3838$0
99291Critical care, first 30-74 minutes1814$0
View full utilization report →

Insurance plans in this area (ZIP 82601)

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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: 4789593708View full group profile
NameSpecialtyState
-AK
-WA
Physician AssistantWA
Nurse PractitionerOR
Diagnostic RadiologyAK
Nurse PractitionerOR
Family PracticeWA
Nurse PractitionerWA
Family PracticeWA
-WA

Reviews

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Frequently asked questions

What federal number belongs to DR. MARTIN H JR. ELLBOGEN (MD)?
The federal identifier for DR. MARTIN H JR. ELLBOGEN (MD) is NPI 1578580593.
Is DR. MARTIN H JR. ELLBOGEN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. MARTIN H JR. ELLBOGEN (MD) work in?
You can think of DR. MARTIN H JR. ELLBOGEN (MD) as practicing within Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARTIN H JR. ELLBOGEN (MD)?
The snapshot lists Casper, Wyoming for DR. MARTIN H JR. ELLBOGEN (MD); download NPPES for the complete set.
How can I contact DR. MARTIN H JR. ELLBOGEN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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