DR. PAUL T ELLIS MD
NPI 1356317325
Urology in Spartanburg, SC

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
391 SERPENTINE DR, SUITE 500, SPARTANBURG, SC 29303(864) 585-8211 Get Directions Write a Review

NPPES record last updated: January 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul T Ellis Md NPPES

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

DR. PAUL T ELLIS MD (NPI 1356317325) is an individual urology provider in Spartanburg, South Carolina, licensed in South Carolina (17866) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (1989).

NPPES Registry Identity

NPI1356317325
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PAUL T ELLISCredential: MD
Location Address391 SERPENTINE DR, SUITE 500Spartanburg, SC 29303-3083
Mailing Address107 Club Pointe DrSpartanburg, SC 29302-6313 · (864) 582-7098
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1989
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJanuary 10, 2008
NPI 1356317325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in SC · 17866
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

391 SERPENTINE DR, Spartanburg, SC 29303

Other Identifiers 1

Medicare UPINF24286

Accepted 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

Dr. Paul T Ellis Md 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 ID6406833243
PECOS Enrollment IDI20040908000538
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 14

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.
644 services563 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
85 services80 patients
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.
66 services64 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services29 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
39 services39 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
39 services39 patients

Hospital Affiliations CMS Care Compare 4

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Union Medical Center

Acute Care Hospitals · Union, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number420108
Location322 West South StreetUnion, SC 29379 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
10 suppliers89 claims11,170 services$1.63 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
6 suppliers33 claims4,800 services$5.79 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.

Specialist
391 SERPENTINE DR, SUITE500
SPARTANBURG, SC 29303
Specialist
391 SERPENTINE DR, SUITE 500
SPARTANBURG, SC 29303
Specialist
391 SERPENTINE DR, SUITE 500
SPARTANBURG, SC 29303
Specialist
391 SERPENTINE DR, SUITE 500
SPARTANBURG, SC 29303
Urology
391 SERPENTINE DR, SUITE 200
SPARTANBURG, SC 29303
Surgery (Surgery of the Hand)
391 SERPENTINE DR, SUITE 440
SPARTANBURG, SC 29303
Surgery (Surgery of the Hand)
391 SERPENTINE DR, SUITE 440
SPARTANBURG, SC 29303
Psychologist
391 SERPENTINE DR, SUITE 400, DOCTOR'S CENTER
SPARTANBURG, SC 29303

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 Paul Ellis's NPI number?

The NPI number for Paul Ellis is 1356317325. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Paul Ellis located?

Paul Ellis practices at 391 Serpentine Dr Suite 500, Spartanburg, SC 29303. The listed phone number is (864) 585-8211.

What is Paul Ellis's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Paul Ellis enrolled in Medicare?

Yes. Paul 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 Paul Ellis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, InStil Health and Molina Healthcare and 1 other insurer list Paul 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 Paul Ellis affiliated with any hospitals?

According to CMS data, Paul Ellis is affiliated with Spartanburg Medical Center, Cherokee Medical Center, Pelham Medical Center and Union Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Ellis was last updated on January 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.