CAROLYN ELLIS
NPI 1225001548
Specialist in Pittsburgh, PA

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
532 S AIKEN AVE, AIKEN MEDICAL BUILDING, PITTSBURGH, PA 15232(412) 687-6064 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn Ellis NPPES

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

CAROLYN ELLIS (NPI 1225001548) is an individual specialist in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD054383L) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1225001548
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCAROLYN ELLIS
Location Address532 S AIKEN AVE, AIKEN MEDICAL BUILDINGPittsburgh, PA 15232-1521
Mailing Address532 S Aiken Ave, Aiken Medical BuildingPittsburgh, PA 15232-1521
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 8, 2006
Last NPPES UpdateMarch 25, 2021
NPI 1225001548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in PA · MD054383L
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
532 S AIKEN AVE, Pittsburgh, PA 15232

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

Carolyn Ellis 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 ID5092902254
PECOS Enrollment IDI20101214000612
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 16

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
320 services166 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
128 services128 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
124 services113 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
100 services78 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
69 services69 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
43 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers18 claims18 services$28.09 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers16 claims16 services$41.15 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers15 claims15 services$13.72 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers15 claims90 services$1.52 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
5 suppliers11 claims11 services$8.31 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
532 S AIKEN AVE, SUITE 201 PRIMARY MEDICAL ASSOCIATES
PITTSBURGH, PA 15232
Specialist
532 S AIKEN AVE, SUITE 300
PITTSBURGH, PA 15232
Urology
532 S AIKEN AVE, SUITE 414
PITTSBURGH, PA 15232
Colon & Rectal Surgery
532 S AIKEN AVE, SUITE 501
PITTSBURGH, PA 15232
Podiatrist
532 S AIKEN AVE, STE 108
PITTSBURGH, PA 15232
Physician Assistant (Medical)
532 S AIKEN AVE, SUITE 400
PITTSBURGH, PA 15232
Physician Assistant (Surgical)
532 S AIKEN AVE, UPMC ST MARGARET HOSPITAL
PITTSBURGH, PA 15232
Nurse Practitioner (Adult Health)
532 S AIKEN AVE, SUITE 300
PITTSBURGH, PA 15232

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 Carolyn Ellis's NPI number?

The NPI number for Carolyn Ellis is 1225001548. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Carolyn Ellis located?

Carolyn Ellis practices at 532 S Aiken Ave Aiken Medical Building, Pittsburgh, PA 15232. The listed phone number is (412) 687-6064.

What is Carolyn Ellis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Carolyn Ellis enrolled in Medicare?

Yes. Carolyn 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.

Is Carolyn Ellis affiliated with any hospitals?

According to CMS data, Carolyn Ellis is affiliated with Upmc Mercy, Upmc St Margaret, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Carolyn Ellis was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.