DR. JEROME C ELLIS DDS
NPI 1104137033
Dentist in Lima, OH

Q: What is Jerome Ellis's NPI number?

The NPI number for Jerome Ellis is 1104137033. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Q: What is Jerome Ellis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jerome Ellis was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.

Active since June 25, 2010PECOS Enrolled

230 N EASTOWN RD, LIMA, OH 45807(419) 228-2233(419) 228-8152 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jerome C Ellis Dds NPPES

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

DR. JEROME C ELLIS DDS (NPI 1104137033) is an individual dentist in Lima, Ohio, licensed in Ohio (30023234) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104137033

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JEROME C ELLISCredential: DDS

Location Address230 N EASTOWN RDLima, OH 45807-2211

Mailing Address230 N Eastown RdLima, OH 45807-2211 · (419) 228-2233 · Fax (419) 228-8152

Phone(419) 228-2233

Fax(419) 228-8152

Sole ProprietorNo

Enumeration DateJune 25, 2010

✔ NPI 1104137033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30023234

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

230 N EASTOWN RD, Lima, OH 45807

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Ohio.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerome C Ellis Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45807 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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. BEN WARNOCK DDS

Dentist

230 N EASTOWN RD
LIMA, OH 45807

Allen County (419) 228-2233

DR. ERIN L ELLIS D.M.D.

Dentist

230 N EASTOWN RD
LIMA, OH 45807

Allen County (419) 228-2233

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 Jerome Ellis's NPI number?

The NPI number for Jerome Ellis is 1104137033. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Jerome Ellis located?

Jerome Ellis practices at 230 N Eastown Rd, Lima, OH 45807. The listed phone number is (419) 228-2233.

What is Jerome Ellis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jerome Ellis enrolled in Medicare?

Yes. Jerome Ellis is registered in the Medicare PECOS enrollment system.

What insurance does Jerome Ellis accept?

Health plans from Delta Dental of Ohio list Jerome 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 Jerome Ellis was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.