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DAVID ANDREW ELLIS M.D.
NPI 1023470044
Internal Medicine in Portland, OR

Active since March 29, 2016Opted out of Medicare · through Oct 15, 2027
9155 SW BARNES RD STE 302, PORTLAND, OR 97225(503) 866-8670 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2019, Mar 29, 2016 (2 updates tracked since 2016).

About David Andrew Ellis M.d. NPPES

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

DAVID ANDREW ELLIS M.D. (NPI 1023470044) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (PG189585) and active in the NPI registry since March 2016. He has opted out of Medicare through October 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023470044
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID ANDREW ELLISCredential: M.D.
Location Address9155 SW BARNES RD STE 302Portland, OR 97225-6630
Mailing Address3181 Sw Sam Jackson Park Rd, L-579Portland, OR 97239-3011 · (503) 494-8211
Phone(503) 866-8670
Sole ProprietorNo
Enumeration DateMarch 29, 2016
Last NPPES UpdateMay 21, 20192 updates tracked since enumeration
✔ NPI 1023470044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · PG189585
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9155 SW BARNES RD STE 302, Portland, OR 97225
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

David Andrew Ellis M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 15, 2019 through October 15, 2027.

Opt-Out Effective DateOctober 15, 2019
Opt-Out In Effect ThroughOctober 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 2

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

DR. ANGELA R HAHN MD
Internal Medicine
9155 SW BARNES RD STE 302
PORTLAND, OR 97225
Washington County (503) 291-1777
DR. MILES H HASSELL MD
Internal Medicine
9155 SW BARNES RD STE 302
PORTLAND, OR 97225
Washington County (503) 291-1777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Ellis's NPI number?

The NPI number for David Ellis is 1023470044. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is David Ellis located?

David Ellis practices at 9155 SW Barnes Rd Ste 302, Portland, OR 97225. The listed phone number is (503) 866-8670.

What is David Ellis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Ellis enrolled in Medicare?

No. David Ellis has opted out of Medicare through October 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for David Ellis was last updated on May 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.