DR. EVAN D ELLIS MD
NPI 1366559163
Orthopaedic Surgery in Vancouver, WA
About Dr. Evan D Ellis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EVAN D ELLIS MD (NPI 1366559163) is an individual orthopaedic surgery provider in Vancouver, Washington, licensed in Washington (MD60270460) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of University Of Michigan Medical School (2002).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Evan D 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.
Medicare Billing Reassignment
Medicare enrollment records show Evan Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97227
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Northwest Surgical Specialists PC
- 55 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORProvidence Willamette Falls Medical Center
Acute Care Hospitals · Oregon City, ORLegacy Meridian Park Medical Center
Acute Care Hospitals · Tualatin, ORPeacehealth Southwest Medical Center
Acute Care Hospitals · Vancouver, WALegacy Salmon Creek Medical Center
Acute Care Hospitals · Vancouver, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98664 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
VANCOUVER, WA 98664
VANCOUVER, WA 98664
VANCOUVER, WA 98664
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 Evan Ellis's NPI number?
The NPI number for Evan Ellis is 1366559163. It was assigned to this individual provider in the NPPES registry on August 25, 2006.
Where is Evan Ellis located?
Evan Ellis practices at 200 NE Mother Joseph Pl Suite 210, Vancouver, WA 98664. The listed phone number is (360) 254-6161.
What is Evan Ellis's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Evan Ellis enrolled in Medicare?
Yes. Evan 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.
Which organization bills Medicare for Evan Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Ellis reassigns Medicare benefits to Northwest Surgical Specialists, P.C. (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evan Ellis accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Evan 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 Evan Ellis affiliated with any hospitals?
According to CMS data, Evan Ellis is affiliated with Providence St Vincent Medical Center, Providence Willamette Falls Medical Center, Legacy Meridian Park Medical Center, Peacehealth Southwest Medical Center and Legacy Salmon Creek Medical Center.
When was this NPI record last updated?
The NPPES record for Evan Ellis was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Evan D Ellis, MD · NPI 1366559163
Orthopaedic Surgery physician in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since August 25, 2006.
## Identity
- **NPI:** 1366559163 (Entity type: Individual)
- **Enumerated:** August 25, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** MD60270460 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 NE MOTHER JOSEPH PL, SUITE 210, Vancouver, WA 98664-3299
- **Phone:** (360) 254-6161 · **Fax:** (360) 449-1139
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northwest Surgical Specialists, P.C. (NPI 1730118803, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 2002
## Record status
- **NPPES last updated:** September 17, 2012
- **Other identifiers:** Medicaid 1366559163 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1366559163) · Data from the CMS NPPES public registry.