Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Clinton Ellingson, MD

Individual provider Retina Specialist (Ophthalmology) Physician · NPI 1326332776

Dr. Clinton Ellingson, MD is an Ophthalmology in Idaho Falls, Idaho. Graduated from Pennsylvania State University College of Medicine in 2011, 15 years ago. Practices with Premier Eye Care of Eastern Idaho, an 11-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Idaho, Indiana and Kentucky.

Years since qualifying
15
Trained at
Pennsylvania State University College of Medicine
Licensed in
ID, IN, KY
In the registry since
2011
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2100 Providence Way
Idaho Falls, ID 83404-4951
Phone: (208) 529-6600
Fax: (208) 529-6602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 6149 E Columbia St, Evansville, IN 47715 — (812) 424-2020
  • 214 W 1500 S Ste 300, Bountiful, UT 84010-7408 — (801) 476-0494
  • 4360 Washington Blvd, Ogden, UT 84403-1866 — (801) 476-0494

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence M-15285 (ID)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence 49026 (KY)
Ophthalmology Physician Taxonomy 207W00000X · Licence 01080410A (IN)
Ophthalmology Physician Taxonomy 207W00000X · Licence 49026 (KY)

Record details

NPI number1326332776
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2011
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Premier Eye Care Of Eastern Idaho — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare