Dr. Clinton Ellingson
MD | Retina Specialist | 15+ years Exp
Medicare Enrolled 2100 Providence Way, Idaho Falls
Idaho, 83404-4951
208-529-6600 208-529-6602
Maps & DirectionsDr. Clinton Ellingson is a Idaho Falls, Idaho based Retina Specialist with 15 years of experience in Retina Specialist. He completed his graduation from Pennsylvania State University College Of Medicine in 2011. He is also affiliated with hospitals like Eastern Idaho Regional Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Clinton Ellingson is M-15285 for Retina Specialist in Idaho.
Dr. Clinton Ellingson specializes in the diagnosis and treatment of vitreoretinal diseases. This subspecialty includes the medical and surgical management of retinal and vitreous diseases, including retinal detachment, diabetic retinopathy, macular degeneration, and other disorders of the retina and vitreous.
Complete Profile:
Dr. Clinton Ellingson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Retina Specialist |
| Credentials: | MD |
| Experience: | 15+ years |
| Medical School Attended: | Pennsylvania State University College Of Medicine |
| Graduation Year: | 2011 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2100 Providence Way, Idaho Falls,
Idaho, 83404-4951 |
| Phone: | 208-529-6600 |
| Fax: | 208-529-6602 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4587979430 |
| Enrollment ID: | I20180810002657 |
| NPI Number: | 1326332776 |
| NPI Enumeration Date: | 02 Jun, 2011 |
| NPI Last Update On: | 16 Sep, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Clinton Ellingson are as mentioned below.
| License Number | Specialization | State | Status | |
| M-15285 | Retina Specialist | Idaho | Primary | |
| 49026 | Retina Specialist | Kentucky | Secondary | |
| 01080410A | Ophthalmology | Indiana | Secondary | |
| 49026 | Ophthalmology | Kentucky | Secondary | |
Hospital Affiliation:
Doctors can be affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Eastern Idaho Regional Medical Center (130018) | Idaho falls, ID | Acute Care Hospital |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Clinton Ellingson has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Talley Medical-surgical Eye Care Associates Pc (3779551122) | 10 |
| Talley Medical-surgical Eye Care Associates Pc (3779551122) | 10 |
| Premier Eye Care Of Eastern Idaho Pllc (2466611744) | 6 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Clinton Ellingson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1326332776 | Medicaid | West Virginia | |
| 0160321 | Medicaid | Ohio | |
| 1326332776 | Medicaid | Idaho | |
| 7100279250 | Medicaid | Kentucky | |
| 300021246 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2100 Providence Way,
Idaho Falls, Idaho |
| Zip: | 83404-4951 |
| Phone Number: | 208-529-6600 |
| Fax Number: | 208-529-6600 |
Patients can reach Dr. Clinton Ellingson at
2100 Providence Way, Idaho Falls, Idaho or can
call to book an appointment on 208-529-6600.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Clinton Ellingson below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Clinton Ellingson. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.