STEVEN PAUL ELLIS M.D.
NPI 1225031453
Ophthalmology in Lawrenceville, NJ

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
99.84/100
CMS Quality Rating
123 FRANKLIN CORNER RD, STE 207, LAWRENCEVILLE, NJ 08648(609) 896-9448(609) 896-7052 Get Directions Write a Review

NPPES record last updated: October 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Steven Paul Ellis M.d. NPPES

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

STEVEN PAUL ELLIS M.D. (NPI 1225031453) is an individual ophthalmology provider in Lawrenceville, New Jersey, licensed in New Jersey (25MA054450) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1982).

NPPES Registry Identity

NPI1225031453
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSTEVEN PAUL ELLISCredential: M.D.
Location Address123 FRANKLIN CORNER RD, STE 207Lawrenceville, NJ 08648-2526
Mailing Address123 Franklin Corner Rd, Ste 207Lawrenceville, NJ 08648-2526 · (609) 896-9448 · Fax (609) 896-7052
Fax(609) 896-7052
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1982
Enumeration DateMay 23, 2005
Last NPPES UpdateOctober 13, 2009
NPI 1225031453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA054450
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
123 FRANKLIN CORNER RD, Lawrenceville, NJ 08648

Other Identifiers 3

Medicare UPINC33321NJ
Medicaid5551200NJ
Medicare PIN646300PNPNJ

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

Steven Paul 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 ID4789608399
PECOS Enrollment IDI20100405000005
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 15

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.
625 services457 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
506 services504 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
397 services280 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
156 services107 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
155 services132 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
138 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

99.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost99.49

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
99%142 patients4/55-star benchmark: 100%
Complications After Cataract Surgery
Lower rates are better for this measure.
0%284 patients
Diabetes: Eye Exam
100%298 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%4,029 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
96%531 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%378 patients
Provide Patients Electronic Access to Their Health Information
98%2,695 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,108 patients
Patients totalRate: 0% · 2,108 patients
0%2,108 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers32 claims32 services$50.91 avg. paid by Medicare
Sphere, single vision, plano to plus or minus 4.00, per lens V2100
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers17 claims27 services$42.60 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier16 claims25 services$37.60 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
123 FRANKLIN CORNER RD, SUITE 216
LAWRENCEVILLE, NJ 08648
Counselor (Mental Health)
123 FRANKLIN CORNER RD
LAWRENCEVILLE, NJ 08648
Obstetrics & Gynecology
123 FRANKLIN CORNER RD, SUITE 214
LAWRENCEVILLE, NJ 08648
Physical Therapist
123 FRANKLIN CORNER RD, SUITE 103
LAWRENCEVILLE, NJ 08648
Advanced Practice Midwife
123 FRANKLIN CORNER RD, SUITE 214
LAWRENCEVILLE, NJ 08648
Nurse Practitioner (Family)
123 FRANKLIN CORNER RD
LAWRENCE TOWNSHIP, NJ 08648
Internal Medicine
123 FRANKLIN CORNER RD, SUITE 216
LAWRENCEVILLE, NJ 08648
Obstetrics & Gynecology
123 FRANKLIN CORNER RD, SUITE 214
LAWRENCEVILLE, NJ 08648

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 Steven Ellis's NPI number?

The NPI number for Steven Ellis is 1225031453. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Steven Ellis located?

Steven Ellis practices at 123 Franklin Corner Rd Ste 207, Lawrenceville, NJ 08648. The listed phone number is (609) 896-9448.

What is Steven Ellis's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Steven Ellis enrolled in Medicare?

Yes. Steven 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.

When was this NPI record last updated?

The NPPES record for Steven Ellis was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.