DR. JERRY H ELLIS OD
NPI 1083776611
Optometrist in Cherokee Village, AR

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
95/100
CMS Quality Rating
197 HOSPITAL DRIVE, SUITE A, CHEROKEE VILLAGE, AR 72529(870) 257-2100(870) 257-4395 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jerry H Ellis Od NPPES

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

DR. JERRY H ELLIS OD (NPI 1083776611) is an individual optometrist in Cherokee Village, Arkansas, licensed in Arkansas (2408) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1990).

NPPES Registry Identity

NPI1083776611
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JERRY H ELLISCredential: OD
Location Address197 HOSPITAL DRIVE, SUITE ACherokee Village, AR 72529-7315
Mailing Address197 Hospital Drive, Suite ACherokee Village, AR 72529-7315 · (870) 257-2100 · Fax (870) 257-4395
Fax(870) 257-4395
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1990
Enumeration DateDecember 13, 2006
Last NPPES UpdateDecember 7, 2009
NPI 1083776611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in AR · 2408
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

197 HOSPITAL DRIVE, Cherokee Village, AR 72529

Other Identifiers 3

Medicaid128855722AR
Medicare UPINU43016AR
Medicare ID-Type Unspecified48729AR · Medicare

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. Jerry H Ellis Od 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 ID6800783523
PECOS Enrollment IDI20110405000864
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 12

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.
225 services201 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.
198 services188 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
116 services114 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
54 services54 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
40 services29 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
37 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72529 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%232 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,664 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%190 patients
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.

Optometrist
197 HOSPITAL DRIVE, SUITE A
CHEROKEE VILLAGE, AR 72529

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 Jerry Ellis's NPI number?

The NPI number for Jerry Ellis is 1083776611. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Jerry Ellis located?

Jerry Ellis practices at 197 Hospital Drive Suite A, Cherokee Village, AR 72529. The listed phone number is (870) 257-2100.

What is Jerry Ellis's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jerry Ellis enrolled in Medicare?

Yes. Jerry 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 Jerry Ellis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 9 other insurers list Jerry 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.

When was this NPI record last updated?

The NPPES record for Jerry Ellis was last updated on December 7, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.