DR. RACHEL FREMDER ELLIS M.D.
NPI 1295873826
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Hicksville, NY

Active since February 04, 2007PECOS EnrolledAccepts Medicare Assignment
97.47/100
CMS Quality Rating
358 S OYSTER BAY RD, HICKSVILLE, NY 11801(516) 822-7546 Get Directions Write a Review

NPPES record last updated: March 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rachel Fremder Ellis M.d. NPPES

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

DR. RACHEL FREMDER ELLIS M.D. (NPI 1295873826) is an individual ophthalmic plastic and reconstructive surgery provider in Hicksville, New York, licensed in New York (240262) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York Downstate Medical Center (2003).

NPPES Registry Identity

NPI1295873826
Entity TypeIndividualFemale
Primary Taxonomy207WX0200X
Provider Legal NameDR. RACHEL FREMDER ELLISCredential: M.D.
Location Address358 S OYSTER BAY RDHicksville, NY 11801-3508
Mailing Address358 S Oyster Bay RdHicksville, NY 11801-3508 · (516) 822-7546 · Fax (516) 937-7546
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2003
Enumeration DateFebruary 4, 2007
Last NPPES UpdateMarch 14, 2019
NPI 1295873826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in NY · 240262
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License 240262-1 (NY)
358 S OYSTER BAY RD, Hicksville, NY 11801

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

Dr. Rachel Fremder 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 ID3173614286
PECOS Enrollment IDI20070803000237
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
187 services126 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
183 services183 patients
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.
116 services95 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
99 services91 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
51 services50 patients
Injection into skin growth, 1-7 growths 11900
This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.
48 services35 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Queens Hospital Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330231
Location82-68 164th StreetJamaica, NY 11432 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11801 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

97.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost91.57

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%29 patients5/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
2%117 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%24 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
9%117 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
3%117 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%117 patients1/55-star benchmark: 59%
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 8

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

Physician Assistant
358 S OYSTER BAY RD
HICKSVILLE, NY 11801
Dermatology
358 S OYSTER BAY RD
HICKSVILLE, NY 11801
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
358 S OYSTER BAY RD
HICKSVILLE, NY 11801
Dermatology (Procedural Dermatology)
358 S OYSTER BAY RD
HICKSVILLE, NY 11801
Dermatology
358 S OYSTER BAY RD
HICKSVILLE, NY 11801
Physician Assistant
358 S OYSTER BAY RD
HICKSVILLE, NY 11801
Physician Assistant
358 S OYSTER BAY RD
HICKSVILLE, NY 11801
Dermatology (MOHS-Micrographic Surgery)
358 S OYSTER BAY RD
HICKSVILLE, NY 11801

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 Rachel Ellis's NPI number?

The NPI number for Rachel Ellis is 1295873826. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Where is Rachel Ellis located?

Rachel Ellis practices at 358 S Oyster Bay Rd, Hicksville, NY 11801. The listed phone number is (516) 822-7546.

What is Rachel Ellis's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Rachel Ellis enrolled in Medicare?

Yes. Rachel 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 Rachel Ellis affiliated with any hospitals?

According to CMS data, Rachel Ellis is affiliated with North Shore University Hospital and Queens Hospital Center.

When was this NPI record last updated?

The NPPES record for Rachel Ellis was last updated on March 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.