BRIAN EUGENE ELLEDGE DO
NPI 1174865455
Psychiatry & Neurology - Psychiatry in Redlands, CA

Q: What is Brian Elledge's NPI number?

The NPI number for Brian Elledge is 1174865455. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Q: What is Brian Elledge's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Brian Elledge was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 25, 2013PECOS Enrolled

461 TENNESSEE ST STE C, REDLANDS, CA 92373(909) 475-7371 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Oct 16, 2020, Oct 19, 2018 (3 updates tracked since 2018).

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About Brian Eugene Elledge Do NPPES

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

BRIAN EUGENE ELLEDGE DO (NPI 1174865455) is an individual psychiatry provider in Redlands, California, licensed in Utah (9848744-1204) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Payson.

NPPES Registry Identity

NPI1174865455

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameBRIAN EUGENE ELLEDGECredential: DO

Location Address461 TENNESSEE ST STE CRedlands, CA 92373-8161

Mailing AddressPo Box 742353Atlanta, GA 30374-2353 · (310) 482-8403

Phone(909) 475-7371

Sole ProprietorYes

Enumeration DateMarch 25, 2013

Last NPPES UpdateMay 13, 20263 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1174865455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in UT · 9848744-1204✔ Licensed in CA · 20A14904

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

461 TENNESSEE ST STE C, Redlands, CA 92373

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Secondary Practice Location 1

Location 11000 E 100 NPayson, UT 84651-1600 · Phone (801) 465-7041 · Fax (801) 465-7409

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Eugene Elledge Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Brian Elledge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jun R. Chiong, MD, Mph, Inc.

Same address

Internal Medicine

461 TENNESSEE ST STE C
Redlands, CA 92373

Reassigned Medicare billing, California enrollment
30 clinicians in this Medicare group

NPI 1093099046 (909) 475-7371

Mission City Community Network, Inc.

33 mi

Federally Qualified Health Center (FQHC)

15201 11TH ST, SUITE 300
Victorville, CA 92395

Reassigned Medicare billing, California enrollment
146 clinicians in this Medicare group

NPI 1265708994 (818) 895-3100

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

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92373 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

$179.42 typical visit price

range $59.60 – $179.42

Typical copayment $44.85 (range $14.90 – $44.85)

Most-billed visit code 99205

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

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 8

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

JUN R. CHIONG, MD, MPH, INC.

Internal Medicine