DR. RICHARD K ELLIS M.D.
NPI 1245336932
Family Medicine in Lake City, SC

Active since September 16, 2006PECOS Enrolled
148 SAULS ST, LAKE CITY, SC 29560(843) 374-3621(843) 374-3624 Get Directions Write a Review

NPPES record last updated: December 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard K Ellis M.d. NPPES

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

DR. RICHARD K ELLIS M.D. (NPI 1245336932) is an individual family medicine provider in Lake City, South Carolina, licensed in South Carolina (21182) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245336932
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RICHARD K ELLISCredential: M.D.
Location Address148 SAULS STLake City, SC 29560-2631
Mailing AddressPo Box 118008Charleston, SC 29423-8008 · (843) 374-3621 · Fax (843) 374-3624
Fax(843) 374-3624
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateDecember 4, 2013
NPI 1245336932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 21182
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
148 SAULS ST, Lake City, SC 29560

Other Identifiers 6

Medicare UPINH324597555SC
Medicaid211826SC
Medicare PIN7555SC
OtherP01055600SC · Rr Ptan
Medicare UPINH32459SC
Medicare PINH324597555SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Richard K Ellis M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29560 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
41%356 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
9%642 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
11%320 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,678 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
35%1,371 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
13%1,090 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 920 patients
83%920 patients4/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 13

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

Family Medicine
148 SAULS ST
LAKE CITY, SC 29560
Nurse Practitioner (Family)
148 SAULS ST
LAKE CITY, SC 29560
Clinic/Center (Physical Therapy)
148 SAULS ST
LAKE CITY, SC 29560
Clinic/Center (Radiology)
148 SAULS ST, SUITE F
LAKE CITY, SC 29560
Family Medicine
148 SAULS ST
LAKE CITY, SC 29560
Physical Therapist
148 SAULS ST, STE B
LAKE CITY, SC 29560
Family Medicine
148 SAULS ST
LAKE CITY, SC 29560
Clinic/Center
148 SAULS ST
LAKE CITY, SC 29560

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 Richard Ellis's NPI number?

The NPI number for Richard Ellis is 1245336932. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Richard Ellis located?

Richard Ellis practices at 148 Sauls St, Lake City, SC 29560. The listed phone number is (843) 374-3621.

What is Richard Ellis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Ellis enrolled in Medicare?

Yes. Richard Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Ellis was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.