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DR. CARLY ELLIS D.O.
NPI 1144516857
Internal Medicine in Chester, VT

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carly Ellis D.o. NPPES

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

DR. CARLY ELLIS D.O. (NPI 1144516857) is an individual internal medicine provider in Chester, Vermont, licensed in Vermont (134060) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2011).

NPPES Registry Identity

NPI1144516857
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARLY ELLISCredential: D.O.
Location Address1824 VT 11Chester, VT 05143-8621
Mailing Address1824 Vt 11Chester, VT 05143-8621
Phone(610) 906-5514
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2011
Enumeration DateJune 21, 2011
Last NPPES UpdateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1144516857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VT · 134060
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1824 VT 11, Chester, VT 05143
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Other Names 1

Former Name (1)Dr. Carly Davis D.o.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Carly Ellis D.o. 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 ID4082837745
PECOS Enrollment IDI20250725003241
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.

Hospital Affiliations CMS Care Compare 2

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Brattleboro Memorial Hospital

Acute Care Hospitals · Brattleboro, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470011
Location17 Belmont AveBrattleboro, VT 05301 · Windham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05143 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

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 Carly Ellis's NPI number?

The NPI number for Carly Ellis is 1144516857. It was assigned to this individual provider in the NPPES registry on June 21, 2011. The provider is also known as Dr. Carly Davis D.O..

Where is Carly Ellis located?

Carly Ellis practices at 1824 Vt 11, Chester, VT 05143. The listed phone number is (610) 906-5514.

What is Carly Ellis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carly Ellis enrolled in Medicare?

Yes. Carly 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 Carly Ellis accept?

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

According to CMS data, Carly Ellis is affiliated with Mary Hitchcock Memorial Hospital and Brattleboro Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carly Ellis was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.