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THOMAS JAMES ELLIS MD
NPI 1124036645
Orthopaedic Surgery - Sports Medicine in Dublin, OH

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
86.55/100
CMS Quality Rating
6810 PERIMETER DR STE 200, DUBLIN, OH 43016(614) 827-8700(614) 827-8701 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas James Ellis Md NPPES

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

THOMAS JAMES ELLIS MD (NPI 1124036645) is an individual sports medicine provider in Dublin, Ohio, licensed in Ohio (35.089720) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Dublin Methodist Hospital, and is a graduate of Vanderbilt University School Of Medicine (1992).

NPPES Registry Identity

NPI1124036645
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameTHOMAS JAMES ELLISCredential: MD
Location Address6810 PERIMETER DR STE 200Dublin, OH 43016-8013
Mailing Address340 Polaris PkwyWesterville, OH 43082-7971 · (614) 827-8700 · Fax (614) 827-8701
Phone(614) 827-8700
Fax(614) 827-8701
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1992
Enumeration DateAugust 3, 2006
Last NPPES UpdateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1124036645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in OH · 35.089720
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 35.089720 (OH), MD22134 (OR)
6810 PERIMETER DR STE 200, Dublin, OH 43016
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Other Identifiers 2

Medicaid134348OR
Medicaid2748067OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual.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

Thomas James Ellis 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.

PECOS PAC ID5092601450
PECOS Enrollment IDI20070730000764
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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopedic One, Inc.
13 mi
Orthopaedic Surgery
340 POLARIS PKWY
Westerville, OH 43082
  • Reassigned Medicare billing, Ohio enrollment
  • 296 clinicians in this Medicare group
NPI 1548289697 (614) 545-7900

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 3

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.

X-ray of hip, 1 view 73501
An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.
14 services13 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
13 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

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.

86.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability98
Improvement Activities40
Cost75.27

Other Providers at the Same Location NPPES 5

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

DR. WILLIAM CHARLES BURGETTE DO
Orthopaedic Surgery
6810 PERIMETER DR STE 200
DUBLIN, OH 43016
Franklin County (614) 827-8700
DANA KATHRYN MICKLE PA-C
Physician Assistant
6810 PERIMETER DR STE 200
DUBLIN, OH 43016
Franklin County (614) 827-8700
RYAN CHESSMAN JEFFERSON MD
Plastic Surgery (Surgery of the Hand)
6810 PERIMETER DR STE 200
DUBLIN, OH 43016
Franklin County (614) 827-8700
DR. KENNETH KEITH MILLIGAN M.D.
Orthopaedic Surgery
6810 PERIMETER DR STE 200
DUBLIN, OH 43016
Franklin County (614) 827-8700
ORTHOPEDIC ONE, INC
Durable Medical Equipment & Medical Supplies
6810 PERIMETER DR STE 200
DUBLIN, OH 43016
Franklin County (614) 827-8700

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 Thomas Ellis's NPI number?

The NPI number for Thomas Ellis is 1124036645. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Thomas Ellis located?

Thomas Ellis practices at 6810 Perimeter Dr Ste 200, Dublin, OH 43016. The listed phone number is (614) 827-8700.

What is Thomas Ellis's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Thomas Ellis enrolled in Medicare?

Yes. Thomas 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 organization bills Medicare for Thomas Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Ellis reassigns Medicare benefits to Orthopedic One, Inc. (Westerville, OH). The 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 Thomas Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Ellis accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Thomas 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 Thomas Ellis affiliated with any hospitals?

According to CMS data, Thomas Ellis is affiliated with Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Ellis was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.