MARCUS T ELLISON MD
NPI 1174103550
Internal Medicine in Charlottesville, VA

Q: What is Marcus Ellison's NPI number?

The NPI number for Marcus Ellison is 1174103550. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Q: What is Marcus Ellison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marcus Ellison was last updated on July 10, 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.

Active since April 10, 2021PECOS EnrolledAccepts Medicare Assignment

1222 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903(434) 924-1931(434) 244-4451 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2024, Jul 2, 2024, Apr 10, 2021 (3 updates tracked since 2021).

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About Marcus T Ellison Md NPPES

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

MARCUS T ELLISON MD (NPI 1174103550) is an individual internal medicine provider in Charlottesville, Virginia, licensed in Virginia (0101282674) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2021).

NPPES Registry Identity

NPI1174103550

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMARCUS T ELLISONCredential: MD

Location Address1222 JEFFERSON PARK AVECharlottesville, VA 22903-3410

Mailing AddressPo Box 749112Atlanta, GA 30374-9112

Phone(434) 924-1931

Fax(434) 244-4451

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2021

Enumeration DateApril 10, 2021

Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1174103550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0101282674

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.

1222 JEFFERSON PARK AVE, Charlottesville, VA 22903

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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

Marcus T Ellison 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 ID5092116160

PECOS Enrollment IDI20240712004000

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

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number490009

Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 20

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

MILAD MEMARI MD

Internal Medicine