DR. JONATHAN J ELLICHMAN M.D.
NPI 1073538823
Surgery - Vascular Surgery in Memphis, TN

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6401 POPLAR AVE STE 410, MEMPHIS, TN 38119(901) 259-2718(901) 259-1123 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jonathan J Ellichman M.d. NPPES

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

DR. JONATHAN J ELLICHMAN M.D. (NPI 1073538823) is an individual vascular surgery provider in Memphis, Tennessee, licensed in Mississippi (18972) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1073538823
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. JONATHAN J ELLICHMANCredential: M.D.
Location Address6401 POPLAR AVE STE 410Memphis, TN 38119-4808
Mailing Address1779 Kirby Pkwy # 1-511Memphis, TN 38138-3666 · (901) 371-5218 · Fax (901) 682-1785
Fax(901) 259-1123
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 13, 2006
Last NPPES UpdateMarch 8, 2016
NPI 1073538823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in MS · 18972
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 39618 (TN)
6401 POPLAR AVE STE 410, Memphis, TN 38119

Other Identifiers 7

Medicare UPINI49075TN
Medicare PIN30005342TN
Medicaid30005342TN
Medicare PIN302I930090MS
Medicaid165449001AR
Medicaid06336753MS
Medicare PIN5H334AR

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

Dr. Jonathan J Ellichman M.d. 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 ID1759395106
PECOS Enrollment IDI20081021000068
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 21

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.

Injection, protamine sulfate, per 10 mg J2720
Protamine sulfate injection is a medication used to reverse the effects of heparin, a blood-thinning drug. It's administered in doses of 10 mg, often after surgeries or procedures where heparin was used to prevent blood clots.
188 services36 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
145 services120 patients
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.
77 services67 patients
Injection, midazolam hydrochloride, per 1 mg J2250
Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).
76 services23 patients
Removal of plaque in artery of leg, initial vessel 37229
This procedure involves removing plaque from the initial vessel in your leg. Plaque, a build-up of fat, cholesterol, and other substances, can block blood flow. The removal process, known as an angioplasty, restores healthy blood circulation in your leg.
63 services37 patients
Infusion, normal saline solution, sterile (500 ml = 1 unit) J7040
An infusion of a normal saline solution is a common medical procedure. Sterile saline (salt water) is administered into your bloodstream via a drip. This helps to maintain fluid balance in your body, especially when you're unable to drink enough liquids.
60 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38119 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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
Quality85.21
Improvement Activities40

Reported Quality Measures

Advance Care Plan
95%402 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
80%92 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
96%622 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
91%127 patients4/55-star benchmark: 100%
Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy
100%418 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

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

Clinic/Center (Multi-Specialty)
6401 POPLAR AVE STE 410
MEMPHIS, TN 38119

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 Jonathan Ellichman's NPI number?

The NPI number for Jonathan Ellichman is 1073538823. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Jonathan Ellichman located?

Jonathan Ellichman practices at 6401 Poplar Ave Ste 410, Memphis, TN 38119. The listed phone number is (901) 259-2718.

What is Jonathan Ellichman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Jonathan Ellichman enrolled in Medicare?

Yes. Jonathan Ellichman 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 Jonathan Ellichman accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Jonathan Ellichman 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.

When was this NPI record last updated?

The NPPES record for Jonathan Ellichman was last updated on March 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.