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MATTHEW J. ELLIS M.D.
NPI 1316048424
Internal Medicine - Nephrology in Durham, NC

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
40 DUKE MEDICINE CIR, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: May 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew J. Ellis M.d. NPPES

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

MATTHEW J. ELLIS M.D. (NPI 1316048424) is an individual nephrology provider in Durham, North Carolina, licensed in North Carolina (200600873) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and is a graduate of Duke University School Of Medicine (2002).

NPPES Registry Identity

NPI1316048424
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMATTHEW J. ELLISCredential: M.D.
Location Address40 DUKE MEDICINE CIRDurham, NC 27710-4000
Mailing AddressPo Box 63362Charlotte, NC 28263-3362 · (919) 684-8111
Phone(919) 684-8111
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2002
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMay 14, 2014
✔ NPI 1316048424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NC · 200600873
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 200600873 (NC)
Also ListedHospitalistTaxonomy 208M00000X · License 200600873 (NC)
40 DUKE MEDICINE CIR, Durham, NC 27710
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Other Identifiers 4

Medicaid5905092NC
Medicare PIN2058724NC
Other143RYNC · Bcbs
Medicare UPING37632

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Matthew J. 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 ID244239804
PECOS Enrollment IDI20061207000401
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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
231 services186 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
154 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Scotland Memorial Hospital

Acute Care Hospitals · Laurinburg, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340008
Location500 Lauchwood DrLaurinburg, NC 28352 · Scotland County
Emergency services Birthing friendly

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier11 claims11 services$19.08 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims131 services$37.31 avg. paid by Medicare
Injection, ganciclovir sodium, 500 mg J1570
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier11 claims77 services$36.69 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
13 suppliers336 claims164,062 services$1.19 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
32 suppliers373 claims49,266 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
16 suppliers575 claims87,065 services$0.01 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.

MARY E KLOTMAN MD
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-8111
JONATHAN PAUL PICCINI SR. M.D., M.H.S.
Internal Medicine (Cardiovascular Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-8111
AMY TENDLER PA
Physician Assistant
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-5057
DR. LINDSAY KING M.D.
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-7685
MICHAEL TCHEUPDJIAN FORRESTER MD, PHD
Internal Medicine (Pulmonary Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 681-1300
MRS. MEGHAN AMY WARD M.S. CCC-SLP
Speech-Language Pathologist
40 DUKE MEDICINE CIR, CLINIC 1I
DURHAM, NC 27710
Durham County (919) 684-3451
RAGHUBINDER S GILL M.D.
Internal Medicine (Gastroenterology)
40 DUKE MEDICINE CIR, DUKE CLINIC 2H
DURHAM, NC 27710
Durham County (919) 684-2661
ETHAN YICHEN SONG
Student in an Organized Health Care Education/Training Program
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 681-7139

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 Matthew Ellis's NPI number?

The NPI number for Matthew Ellis is 1316048424. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Matthew Ellis located?

Matthew Ellis practices at 40 Duke Medicine Cir, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Matthew Ellis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Matthew Ellis enrolled in Medicare?

Yes. Matthew 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.

What insurance does Matthew Ellis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Matthew Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Ellis affiliated with any hospitals?

According to CMS data, Matthew Ellis is affiliated with Scotland Memorial Hospital, Duke University Hospital, Novant Health New Hanover Regional Medical Center and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Ellis was last updated on May 14, 2014. 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.