MICHELLE ELLIS M.D..
NPI 1194926600
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Appleton, WI

Q: What is Michelle Ellis's NPI number?

The NPI number for Michelle Ellis is 1194926600. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Q: What is Michelle Ellis's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Ellis was last updated on October 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment

84.55/100

CMS Quality Rating

1818 N MEADE ST, APPLETON, WI 54911(920) 731-8900(920) 738-5369 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2024, May 26, 2022, Sep 9, 2021 and 4 more (7 updates tracked since 2016).

On this page

About Michelle Ellis M.d.. NPPES

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

MICHELLE ELLIS M.D.. (NPI 1194926600) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Appleton, Wisconsin, licensed in Wisconsin (67697-20) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and maintains a secondary practice location in Billings.

NPPES Registry Identity

NPI1194926600

Entity TypeIndividualFemale

Primary Taxonomy208G00000X

Provider Legal NameMICHELLE ELLISCredential: M.D..

Location Address1818 N MEADE STAppleton, WI 54911-3454

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910

Phone(920) 731-8900

Fax(920) 738-5369

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2006

Enumeration DateMay 31, 2007

Last NPPES UpdateOctober 8, 20247 updates tracked since enumeration

NPPES CertifiedOctober 8, 2024

✔ NPI 1194926600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in WI · 67697-20✔ Licensed in TN · 56534✔ Licensed in MI · 4301100710✔ Licensed in MT · 51276

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1818 N MEADE ST, Appleton, WI 54911

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Secondary Practice Location 1

Location 12900 12th Ave N, Suite 400EBillings, MT 59101-7506 · Phone (406) 238-6820 · Fax (406) 238-6838

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Michelle 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 ID446475545

PECOS Enrollment IDI20170912003329

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.

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

84.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.81

Promoting Interoperability

100

Improvement Activities

Cost

53.8

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.

HONNIE RUTH BERMAS M.D.

Surgery

1818 N MEADE ST, SUITE 240 WEST
APPLETON, WI 54911

Outagamie County (920) 731-8131

STEVEN J MCINTYRE MD

Emergency Medicine (Emergency Medical Services)