TINA MARLENE ELLIS PA
NPI 1053648436
Physician Assistant in North Charleston, SC

Active since November 05, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4969 CENTRE POINTE DR, STE 100, NORTH CHARLESTON, SC 29418(843) 853-0250(843) 606-8103 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2022, Oct 29, 2019 (2 updates tracked since 2019).

About Tina Marlene Ellis Pa NPPES

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

TINA MARLENE ELLIS PA (NPI 1053648436) is an individual physician assistant in North Charleston, South Carolina, licensed in South Carolina (2889) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2009).

NPPES Registry Identity

NPI1053648436
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTINA MARLENE ELLISCredential: PA
Location Address4969 CENTRE POINTE DR, STE 100North Charleston, SC 29418-6952
Mailing Address4969 Centre Pointe Dr, Ste 100North Charleston, SC 29418-6952 · (843) 853-0250 · Fax (843) 606-8103
Fax(843) 606-8103
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2009
Enumeration DateNovember 5, 2009
Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration
NPI 1053648436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SC · 2889
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2889 (SC)
4969 CENTRE POINTE DR, North Charleston, SC 29418

Other Identifiers 1

Medicaid4750017AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tina Marlene Ellis Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628117090
PECOS Enrollment IDI20180227002008
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
386 services340 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
217 services195 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
217 services208 patients
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent G0250
This service involves your doctor evaluating your home INR (a blood clotting test) results. It's for patients with a mechanical heart valve, chronic atrial fibrillation, or venous thromboembolism who meet specific criteria. It helps manage your treatment, but tests aren't conducted frequently.
175 services22 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
98 services98 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Mount Pleasant Hospital

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420104
Location3510 Highway 17 North Suite 140Mount Pleasant, SC 29466 · Charleston County
Emergency services

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29418 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
97%481 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%384 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Physician Assistant
4969 CENTRE POINTE DR, SUITE 100
NORTH CHARLESTON, SC 29418
Internal Medicine (Interventional Cardiology)
4969 CENTRE POINTE DR, SUITE 100
N CHARLESTON, SC 29418
Internal Medicine (Interventional Cardiology)
4969 CENTRE POINTE DR, SUITE 100
NORTH CHARLESTON, SC 29418
Internal Medicine (Cardiovascular Disease)
4969 CENTRE POINTE DR, SUITE 100
N CHARLESTON, SC 29418
Internal Medicine (Interventional Cardiology)
4969 CENTRE POINTE DR, SUITE 100
NORTH CHARLESTON, SC 29418

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 Tina Ellis's NPI number?

The NPI number for Tina Ellis is 1053648436. It was assigned to this individual provider in the NPPES registry on November 5, 2009.

Where is Tina Ellis located?

Tina Ellis practices at 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418. The listed phone number is (843) 853-0250.

What is Tina Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tina Ellis enrolled in Medicare?

Yes. Tina Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tina Ellis accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Tina Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tina Ellis affiliated with any hospitals?

According to CMS data, Tina Ellis is affiliated with Trident Medical Center, Roper Hospital, Mount Pleasant Hospital and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Tina Ellis was last updated on January 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.