DR. MARCO FREDRICK ELLIS M.D.
NPI 1508021171
Plastic Surgery in Chicago, IL

Q: What is Marco Ellis's NPI number?

The NPI number for Marco Ellis is 1508021171. It was assigned to this individual provider in the NPPES registry on July 23, 2008.

Q: What is Marco Ellis's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Marco Ellis was last updated on June 21, 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.

Active since July 23, 2008PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

259 E ERIE ST STE 20-2060, CHICAGO, IL 60611(312) 695-6022(312) 695-5672 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2023, Apr 18, 2017 (2 updates tracked since 2017).

On this page

About Dr. Marco Fredrick Ellis M.d. NPPES

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

DR. MARCO FREDRICK ELLIS M.D. (NPI 1508021171) is an individual plastic surgery provider in Chicago, Illinois, licensed in Illinois (036121419) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Harvard Medical School (2005).

NPPES Registry Identity

NPI1508021171

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. MARCO FREDRICK ELLISCredential: M.D.

Location Address259 E ERIE ST STE 20-2060Chicago, IL 60611-2987

Mailing Address259 E Erie St Ste 20-2060Chicago, IL 60611-2987 · (312) 695-6022 · Fax (312) 695-5672

Phone(312) 695-6022

Fax(312) 695-5672

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 2005

Enumeration DateJuly 23, 2008

Last NPPES UpdateJune 21, 20232 updates tracked since enumeration

NPPES CertifiedJune 21, 2023

✔ NPI 1508021171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in IL · 036121419

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

259 E ERIE ST STE 20-2060, Chicago, IL 60611

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Other Identifiers 1

Other12576013Caqh

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. Marco Fredrick 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 ID8426242736

PECOS Enrollment IDI20101101000664

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 5

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 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.

43 services30 patients

Repair of wound by transferring skin, each additional 30.0 sq cm 14302

This procedure involves the transfer of skin from a healthy area to a wounded area, helping in its healing. Each session covers 30.0 sq cm. It's a common method for treating large wounds, burns, or areas with significant tissue damage.

30 services12 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

19 services19 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

16 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 2

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

DR. JASON HYUNSUK KO M.D.

Plastic Surgery (Surgery of the Hand)

259 E ERIE ST STE 20-2060
CHICAGO, IL 60611

Cook County (312) 695-6022

GREGORY A DUMANIAN MD

Surgery (Plastic and Reconstructive Surgery)

259 E ERIE ST STE 20-2060
CHICAGO, IL 60611

Cook County (312) 695-6022

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 Marco Ellis's NPI number?

The NPI number for Marco Ellis is 1508021171. It was assigned to this individual provider in the NPPES registry on July 23, 2008.

Where is Marco Ellis located?

Marco Ellis practices at 259 E Erie St Ste 20-2060, Chicago, IL 60611. The listed phone number is (312) 695-6022.

What is Marco Ellis's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Marco Ellis enrolled in Medicare?

Yes. Marco 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.

Is Marco Ellis affiliated with any hospitals?

According to CMS data, Marco Ellis is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Marco Ellis was last updated on June 21, 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.