DR. KENNETH MARK ELLNER M.D.
NPI 1447259577
Dermatology in Roswell, GA

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1265 UPPER HEMBREE RD, SUITE 100, ROSWELL, GA 30076(770) 750-1133(770) 751-7410 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Mark Ellner M.d. NPPES

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

DR. KENNETH MARK ELLNER M.D. (NPI 1447259577) is an individual dermatology provider in Roswell, Georgia, licensed in Georgia (032377) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1985).

NPPES Registry Identity

NPI1447259577
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. KENNETH MARK ELLNERCredential: M.D.
Location Address1265 UPPER HEMBREE RD, SUITE 100Roswell, GA 30076-1143
Mailing Address1265 Upper Hembree Rd, Suite 100Roswell, GA 30076-1143 · (770) 750-1133 · Fax (770) 751-7410
Fax(770) 751-7410
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1985
Enumeration DateJuly 20, 2005
Last NPPES UpdateNovember 2, 2020
NPPES CertifiedOctober 30, 2020
NPI 1447259577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in GA · 032377
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1265 UPPER HEMBREE RD, Roswell, GA 30076

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. Kenneth Mark Ellner 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 ID1658315361
PECOS Enrollment IDI20050614000637
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 19

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,101 services277 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.
1,030 services758 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
546 services439 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.
485 services434 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
235 services217 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
104 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Dermatology
1265 UPPER HEMBREE RD, SUITE 100
ROSWELL, GA 30076
Dermatology
1265 UPPER HEMBREE RD, STE 100
ROSWELL, GA 30076
Physician Assistant
1265 UPPER HEMBREE RD, SUITE 100
ROSWELL, GA 30076
Dermatology
1265 UPPER HEMBREE RD, SUITE 100
ROSWELL, GA 30076
Dermatology
1265 UPPER HEMBREE RD, STE 100
ROSWELL, GA 30076
Physician Assistant
1265 UPPER HEMBREE RD
ROSWELL, GA 30076
Dermatology
1265 UPPER HEMBREE RD, SUITE 101
ROSWELL, GA 30076
Dermatology
1265 UPPER HEMBREE RD, SUITE 100
ROSWELL, GA 30076

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 Kenneth Ellner's NPI number?

The NPI number for Kenneth Ellner is 1447259577. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Kenneth Ellner located?

Kenneth Ellner practices at 1265 Upper Hembree Rd Suite 100, Roswell, GA 30076. The listed phone number is (770) 750-1133.

What is Kenneth Ellner's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kenneth Ellner enrolled in Medicare?

Yes. Kenneth Ellner 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 Kenneth Ellner accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kenneth Ellner 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.

When was this NPI record last updated?

The NPPES record for Kenneth Ellner was last updated on November 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.