CLYDE NEAL ELLIS JR. MD
NPI 1093762908
Surgery in Elkins, WV
About Clyde Neal Ellis Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLYDE NEAL ELLIS JR. MD (NPI 1093762908) is an individual surgery provider in Elkins, West Virginia, licensed in Texas (R8884) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Golden Valley Memorial Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Clyde Neal Ellis Jr. Md 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.
Medicare Billing Reassignments
8Medicare enrollment records show Clyde Ellis reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elkins, WV 26241
- Reassigned Medicare billing, West Virginia enrollment
- 246 clinicians in this Medicare group
Weston, WV 26452
- Reassigned Medicare billing, West Virginia enrollment
- 134 clinicians in this Medicare group
Littleton, NH 03561
- Reassigned Medicare billing, New Hampshire enrollment
- Also billed through NPI 1265536718 (New Hampshire)
- 126 clinicians in this Medicare group
Berlin, NH 03570
- Reassigned Medicare billing, New Hampshire enrollment
- Also billed through NPI 1386680593 (New Hampshire)
- 83 clinicians in this Medicare group
Warsaw, MO 65355
- Reassigned Medicare billing, Missouri enrollment
- 220 clinicians in this Medicare group
Brookhaven, MS 39601
- Reassigned Medicare billing, Mississippi enrollment
- 153 clinicians in this Medicare group
Kingwood, TX 77339
- Reassigned Medicare billing, Texas enrollment
- 99 clinicians in this Medicare group
Las Vegas, NV 89144
- Reassigned Medicare billing, Nevada enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Golden Valley Memorial Hospital
Acute Care Hospitals · Clinton, MODavis Medical Center
Acute Care Hospitals · Elkins, WVStonewall Jackson Memorial Hospital
Acute Care Hospitals · Weston, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 26241 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ELKINS, WV 26241
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 Clyde Ellis's NPI number?
The NPI number for Clyde Ellis is 1093762908. It was assigned to this individual provider in the NPPES registry on May 27, 2006.
Where is Clyde Ellis located?
Clyde Ellis practices at 812 Gorman Ave, Elkins, WV 26241. The listed phone number is (304) 636-3300.
What is Clyde Ellis's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Clyde Ellis enrolled in Medicare?
Yes. Clyde 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.
Which organizations bill Medicare for Clyde Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clyde Ellis reassigns Medicare benefits to 8 organizations: Davis Memorial Hospital (Elkins, WV), Stonewall Jackson Memorial Hospital Company (Weston, WV), Weeks Medical Center (Littleton, NH), Androscoggin Valley Hospital Inc (Berlin, NH), Golden Valley Memorial Hospital District (Warsaw, MO) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clyde Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clyde Ellis accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, CareSource and Cigna Healthcare and 2 other insurers list Clyde 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 Clyde Ellis affiliated with any hospitals?
According to CMS data, Clyde Ellis is affiliated with Golden Valley Memorial Hospital, Davis Medical Center and Stonewall Jackson Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Clyde Ellis was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clyde Neal Ellis Jr., MD · NPI 1093762908
Surgery physician in Elkins, West Virginia. Individual provider, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1093762908 (Entity type: Individual)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** R8884 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 812 GORMAN AVE, Elkins, WV 26241-3181
- **Phone:** (304) 636-3300 · **Fax:** (304) 636-4331
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Davis Memorial Hospital (NPI 1619964806, Elkins, WV); Stonewall Jackson Memorial Hospital Company (NPI 1477559433, Weston, WV); Weeks Medical Center (NPI 1578155560, Littleton, NH); Androscoggin Valley Hospital Inc (NPI 1679526644, Berlin, NH); Golden Valley Memorial Hospital District (NPI 1366490971, Warsaw, MO); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 1984
## Record status
- **NPPES last updated:** July 27, 2026
- **Other identifiers:** Medicaid 1093762908 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1093762908) · Data from the CMS NPPES public registry.