DAVID J ELLINGSON P.A.
NPI 1144228685
Physician Assistant - Surgical in Tavares, FL

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
3310 WATERMAN WAY, TAVARES, FL 32778(352) 343-1216(352) 343-1582 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David J Ellingson P.a. NPPES

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

DAVID J ELLINGSON P.A. (NPI 1144228685) is an individual surgical provider in Tavares, Florida, licensed in Florida (PA9102690) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Waterman, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1144228685
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDAVID J ELLINGSONCredential: P.A.
Location Address3310 WATERMAN WAYTavares, FL 32778-5250
Mailing AddressPo Box 935921Atlanta, GA 31193-5921
Fax(352) 343-1582
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 8, 2005
Last NPPES UpdateJune 28, 2024
NPPES CertifiedJune 28, 2024
NPI 1144228685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9102690
3310 WATERMAN WAY, Tavares, FL 32778

Other Identifiers 1

Medicaid291796300FL

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

David J Ellingson P.a. 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 ID547255309
PECOS Enrollment IDI20040420000264
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

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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 10

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

Non-Pharmacy Dispensing Site
3310 WATERMAN WAY
TAVARES, FL 32778
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3310 WATERMAN WAY
TAVARES, FL 32778
Ophthalmology
3310 WATERMAN WAY
TAVARES, FL 32778
Physician Assistant
3310 WATERMAN WAY
TAVARES, FL 32778
Ophthalmology
3310 WATERMAN WAY
TAVARES, FL 32778
Nurse Practitioner (Family)
3310 WATERMAN WAY
TAVARES, FL 32778
Ophthalmology
3310 WATERMAN WAY
TAVARES, FL 32778
Ophthalmology
3310 WATERMAN WAY
TAVARES, FL 32778

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 David Ellingson's NPI number?

The NPI number for David Ellingson is 1144228685. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is David Ellingson located?

David Ellingson practices at 3310 Waterman Way, Tavares, FL 32778. The listed phone number is (352) 343-1216.

What is David Ellingson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is David Ellingson enrolled in Medicare?

Yes. David Ellingson 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 David Ellingson accept?

Health plans from Wellpoint list David Ellingson 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 David Ellingson affiliated with any hospitals?

According to CMS data, David Ellingson is affiliated with Adventhealth Waterman.

When was this NPI record last updated?

The NPPES record for David Ellingson was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.