DR. MARK GREGORY ELLIS MD
NPI 1003812744
Pediatrics in Eureka, CA

Active since June 27, 2005PECOS Enrolled
2200 TYDD ST, EUREKA, CA 95501(707) 269-7051(707) 269-7054 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Mar 7, 2018, Dec 15, 2017 (3 updates tracked since 2017).

About Dr. Mark Gregory Ellis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK GREGORY ELLIS MD (NPI 1003812744) is an individual pediatrics provider in Eureka, California, licensed in California (G65432) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Eureka.

NPPES Registry Identity

NPI1003812744
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARK GREGORY ELLISCredential: MD
Location Address2200 TYDD STEureka, CA 95501-1284
Mailing Address670 9th St Ste 203Arcata, CA 95521-6249 · (707) 826-8633 · Fax (707) 826-8638
Fax(707) 269-7054
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1003812744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · G65432
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2200 TYDD ST, Eureka, CA 95501

Secondary Practice Location 1

Location 12800 Harris StEureka, CA 95503-4809 · Phone (707) 445-8416 · Fax (707) 445-4182

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark Gregory Ellis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
2200 TYDD ST
EUREKA, CA 95501
Family Medicine
2200 TYDD ST
EUREKA, CA 95501
Registered Nurse
2200 TYDD ST
EUREKA, CA 95501
Nurse Practitioner (Family)
2200 TYDD ST
EUREKA, CA 95501
Nurse Practitioner (Adult Health)
2200 TYDD ST
EUREKA, CA 95501
Registered Nurse
2200 TYDD ST
EUREKA, CA 95501
Registered Nurse
2200 TYDD ST
EUREKA, CA 95501
Social Worker (Clinical)
2200 TYDD ST
EUREKA, CA 95501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003812744, enumerated as an "individual" on June 27, 2005.

The provider is located at 2200 TYDD ST EUREKA, CA 95501 and the phone number is (707) 269-7051.

Pediatrics with taxonomy code 208000000X.