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DR. RICHARD ASHLEY ELLIS D.O.
NPI 1386702140
Family Medicine - Sports Medicine in Redwood City, CA

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
1190 VETERANS BLVD STE C, REDWOOD CITY, CA 94063(650) 299-7800 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Sep 6, 2022, Dec 29, 2021 (3 updates tracked since 2021).

About Dr. Richard Ashley Ellis D.o. NPPES

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

DR. RICHARD ASHLEY ELLIS D.O. (NPI 1386702140) is an individual sports medicine provider in Redwood City, California, licensed in California (12689) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1386702140
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. RICHARD ASHLEY ELLISCredential: D.O.
Location Address1190 VETERANS BLVD STE CRedwood City, CA 94063-2037
Mailing Address12234 Panama City Beach Pkwy Ste BPanama City Beach, FL 32407-2726 · (850) 233-2323 · Fax (850) 233-1055
Phone(650) 299-7800
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 5, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1386702140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · 12689
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License OS17840 (FL)
1190 VETERANS BLVD STE C, Redwood City, CA 94063
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Other Identifiers 1

Other12689CA · Ca Medical License

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. Richard Ashley Ellis D.o. 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 ID7113299686
PECOS Enrollment IDI20230425001372
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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
Same address
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94063 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 1386702140. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Richard Ellis located?

Richard Ellis practices at 1190 Veterans Blvd Ste C, Redwood City, CA 94063. The listed phone number is (650) 299-7800.

What is Richard Ellis's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Richard Ellis enrolled in Medicare?

Yes. Richard 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 Richard Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Ellis reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). 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 Richard Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Ellis was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.