THOMASENA L ELLISON MD FACOG
NPI 1114000403
Obstetrics & Gynecology in Brooklyn, NY

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
100 LIVINGSTON STREET, 3RD FLOOR, BROOKLYN, NY 11201(718) 222-0393(718) 222-3653 Get Directions Write a Review

NPPES record last updated: July 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomasena L Ellison Md Facog NPPES

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

THOMASENA L ELLISON MD FACOG (NPI 1114000403) is an individual obstetrics & gynecology provider in Brooklyn, New York, licensed in New York (1802491) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Maimonides Medical Center, and is a graduate of Morehouse School Of Medicine (1988).

NPPES Registry Identity

NPI1114000403
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTHOMASENA L ELLISONCredential: MD FACOG
Location Address100 LIVINGSTON STREET, 3RD FLOORBrooklyn, NY 11201
Mailing Address100 Livingston Street, 3rd FloorBrooklyn, NY 11201 · (718) 222-0393 · Fax (718) 222-3653
Fax(718) 222-3653
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 1988
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 2, 2014
NPI 1114000403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NY · 1802491
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
100 LIVINGSTON STREET, Brooklyn, NY 11201

Other Identifiers 11

Other112619613EL02Care Plus
OtherN323923Well Care
Other30310PHip
OtherP406658Oxford
OtherT4XEtin
Medicare ID-Type Unspecified79J911
Other0202017Ghi
OtherET0249Atlantis
Other3C1694Healthnet
Other255780401Health Plus
Medicare UPINF94880

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

Thomasena L Ellison Md Facog 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 ID4385833011
PECOS Enrollment IDI20110112000484
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
59 services59 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
57 services57 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.
34 services27 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.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Maimonides Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330194
Location4802 Tenth AvenueBrooklyn, NY 11219 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11201 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Thomasena Ellison's NPI number?

The NPI number for Thomasena Ellison is 1114000403. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Thomasena Ellison located?

Thomasena Ellison practices at 100 Livingston Street 3rd Floor, Brooklyn, NY 11201. The listed phone number is (718) 222-0393.

What is Thomasena Ellison's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Thomasena Ellison enrolled in Medicare?

Yes. Thomasena Ellison 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.

Is Thomasena Ellison affiliated with any hospitals?

According to CMS data, Thomasena Ellison is affiliated with Maimonides Medical Center.

When was this NPI record last updated?

The NPPES record for Thomasena Ellison was last updated on July 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.