ELLIS ROBERTSON MD
NPI 1568465920
Radiology - Diagnostic Radiology in Dallas, TX

Active since May 31, 2005PECOS Enrolled
93.65/100
CMS Quality Rating
12700 PARK CENTRAL DR, STE 430, DALLAS, TX 75251(972) 239-8902 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2021, Jun 20, 2018 (2 updates tracked since 2018).

About Ellis Robertson Md NPPES

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

ELLIS ROBERTSON MD (NPI 1568465920) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Texas (J7162) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Medical City Weatherford, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1989).

NPPES Registry Identity

NPI1568465920
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameELLIS ROBERTSONCredential: MD
Location Address12700 PARK CENTRAL DR, STE 430Dallas, TX 75251-1527
Mailing AddressPo Box 740608Dallas, TX 75374-0608 · (469) 317-9900
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1989
Enumeration DateMay 31, 2005
Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
NPI 1568465920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · J7162
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
12700 PARK CENTRAL DR, Dallas, TX 75251

Other Identifiers 1

Medicaid128943103TX

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 (PECOS)

Ellis Robertson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638082233
PECOS Enrollment IDI20031110000593
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.

Hospital Affiliations CMS Care Compare 5

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

Medical City Weatherford

Acute Care Hospitals · Weatherford, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450203
Location713 E Anderson StWeatherford, TX 76086 · Parker County
Emergency services Birthing friendly

Northwest Texas Hospital

Acute Care Hospitals · Amarillo, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450209
Location1501 S Coulter StAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450647
Location7777 Forest LaneDallas, TX 75230 · Dallas County
Emergency services Birthing friendly

Medical City Fort Worth

Acute Care Hospitals · Fort Worth, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450672
Location900 Eighth AvenueFort Worth, TX 76104 · Tarrant County
Emergency services

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75251 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

93.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.53
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%357 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%53 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

Radiology (Diagnostic Radiology)
12700 PARK CENTRAL DR, STE 430
DALLAS, TX 75251
Radiology (Neuroradiology)
12700 PARK CENTRAL DR, SUITE 430
DALLAS, TX 75251
Physician Assistant
12700 PARK CENTRAL DR, SUITE 900
DALLAS, TX 75251
Radiology (Diagnostic Radiology)
12700 PARK CENTRAL DR, STE 430
DALLAS, TX 75251
Radiology (Neuroradiology)
12700 PARK CENTRAL DR, STE 430
DALLAS, TX 75251
Family Medicine
12700 PARK CENTRAL DR, STE 900
DALLAS, TX 75251
Radiology (Diagnostic Radiology)
12700 PARK CENTRAL DR, STE 430
DALLAS, TX 75251
Radiology (Diagnostic Radiology)
12700 PARK CENTRAL DR, STE 430
DALLAS, TX 75251

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 Ellis Robertson's NPI number?

The NPI number for Ellis Robertson is 1568465920. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Ellis Robertson located?

Ellis Robertson practices at 12700 Park Central Dr Ste 430, Dallas, TX 75251. The listed phone number is (972) 239-8902.

What is Ellis Robertson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ellis Robertson enrolled in Medicare?

Yes. Ellis Robertson is registered in the Medicare PECOS enrollment system.

What insurance does Ellis Robertson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ellis Robertson 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 Ellis Robertson affiliated with any hospitals?

According to CMS data, Ellis Robertson is affiliated with Medical City Weatherford, Northwest Texas Hospital, Medical City Dallas Hospital, Medical City Fort Worth and Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Ellis Robertson was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.