DR. BRIAN E ELLIS M.D.
NPI 1124038047
Family Medicine in Danville, KY

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
79.11/100
CMS Quality Rating
109 DANIEL DR, DANVILLE, KY 40422(859) 236-3361(859) 239-9484 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian E Ellis M.d. NPPES

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

DR. BRIAN E ELLIS M.D. (NPI 1124038047) is an individual family medicine provider in Danville, Kentucky, licensed in Kentucky (29363) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (1990).

NPPES Registry Identity

NPI1124038047
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRIAN E ELLISCredential: M.D.
Location Address109 DANIEL DRDanville, KY 40422-2527
Mailing AddressPo Box 990Danville, KY 40423-0990 · (859) 236-3361 · Fax (859) 239-9484
Fax(859) 239-9484
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1990
Enumeration DateAugust 9, 2006
Last NPPES UpdateAugust 30, 2011
NPI 1124038047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 29363
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
109 DANIEL DR, Danville, KY 40422

Other Identifiers 3

Medicare UPINF54053KY
Medicare ID-Type Unspecified0878504KY
Medicaid64293632KY

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. Brian E Ellis M.d. 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 ID9739172966
PECOS Enrollment IDI20040405001143
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 5

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
146 services119 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
103 services98 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
78 services59 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
47 services42 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

The James B. Haggin Memorial Hospital

Critical Access Hospitals · Harrodsburg, KY
OwnershipVoluntary non-profit - Other
CMS Certification Number181302
Location464 Linden AvenueHarrodsburg, KY 40330 · Mercer County
Emergency services

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181315
Location110 Metker TrailStanford, KY 40484 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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.

79.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.52
Promoting Interoperability100
Improvement Activities40
Cost44.23

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers84 claims188 services$5.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers26 claims32 services$1.03 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers15 claims42 services$2.61 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$63.73 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers43 claims44 services$18.86 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$919.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
109 DANIEL DR
DANVILLE, KY 40422
Nurse Practitioner (Family)
109 DANIEL DR
DANVILLE, KY 40422
Family Medicine
109 DANIEL DR
DANVILLE, KY 40422
Family Medicine
109 DANIEL DR
DANVILLE, KY 40422
Family Medicine
109 DANIEL DR
DANVILLE, KY 40422
Physician Assistant
109 DANIEL DR
DANVILLE, KY 40422
Nurse Practitioner (Family)
109 DANIEL DR
DANVILLE, KY 40422
Family Medicine
109 DANIEL DR
DANVILLE, KY 40422

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 Brian Ellis's NPI number?

The NPI number for Brian Ellis is 1124038047. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Brian Ellis located?

Brian Ellis practices at 109 Daniel Dr, Danville, KY 40422. The listed phone number is (859) 236-3361.

What is Brian Ellis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brian Ellis enrolled in Medicare?

Yes. Brian 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 Brian Ellis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Brian 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 Brian Ellis affiliated with any hospitals?

According to CMS data, Brian Ellis is affiliated with Ephraim Mcdowell Regional Medical Center, Baptist Health Lexington, Saint Joseph East, The James B. Haggin Memorial Hospital and Ephraim Mcdowell Fort Logan Hospital.

When was this NPI record last updated?

The NPPES record for Brian Ellis was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.