ELLIS ROBERTSON MD
NPI 1568465920
Radiology - Diagnostic Radiology in Dallas, TX
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
Specialties & Licenses
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
Ellis Robertson 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 Reassignments
10Medicare enrollment records show Ellis Robertson reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75243
- Reassigned Medicare billing, Texas enrollment
- 216 clinicians in this Medicare group
Plano, TX 75075
- Reassigned Medicare billing, Texas enrollment
- 213 clinicians in this Medicare group
Plano, TX 75093
- Reassigned Medicare billing, Texas enrollment
- 137 clinicians in this Medicare group
Dallas, TX 75246
- Reassigned Medicare billing, Texas enrollment
- 206 clinicians in this Medicare group
Plano, TX 75024
- Reassigned Medicare billing, Texas enrollment
- 144 clinicians in this Medicare group
Carrollton, TX 75010
- Reassigned Medicare billing, Texas enrollment
- 201 clinicians in this Medicare group
Allen, TX 75013
- Reassigned Medicare billing, Texas enrollment
- 229 clinicians in this Medicare group
Frisco, TX 75034
- Reassigned Medicare billing, Texas enrollment
- 223 clinicians in this Medicare group
Grapevine, TX 76051
- Reassigned Medicare billing, Texas enrollment
- 194 clinicians in this Medicare group
Fort Worth, TX 76107
- Reassigned Medicare billing, Texas and Florida enrollments
- Also billed through NPI 1710970975 (Florida)
- 445 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.
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, TXNorthwest Texas Hospital
Acute Care Hospitals · Amarillo, TXBaylor Scott & White Medical Center Grapevine
Acute Care Hospitals · Grapevine, TXMedical City Dallas Hospital
Acute Care Hospitals · Dallas, TXMedical City Fort Worth
Acute Care Hospitals · Fort Worth, TXPhysician 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.
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.
Reported Quality Measures
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.
DALLAS, TX 75251
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ellis Robertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellis Robertson reassigns Medicare benefits to 10 organizations: North Star Fp, LP (Dallas, TX), North Star Diagnostic Imaging, LLC (Plano, TX), North Star Npt LP (Plano, TX), North Star Mcd, LLC (Dallas, TX), Methodist-Cdi (Plano, TX) and 5 more organizations, listed in the Medicare section above. Each 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 Ellis Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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, Baylor Scott & White Medical Center Grapevine, Medical City Dallas Hospital and Medical City Fort Worth.
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.
# Ellis Robertson, MD · NPI 1568465920
Diagnostic Radiology physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since May 31, 2005.
## Identity
- **NPI:** 1568465920 (Entity type: Individual)
- **Enumerated:** May 31, 2005
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** J7162 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 12700 PARK CENTRAL DR, STE 430, Dallas, TX 75251-1527
- **Phone:** (972) 239-8902
## 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:** 10 organizations under Medicare reassignment (form CMS-855R): North Star Fp, LP (NPI 1033630835, Dallas, TX); North Star Diagnostic Imaging, LLC (NPI 1467787739, Plano, TX); North Star Npt LP (NPI 1699387647, Plano, TX); North Star Mcd, LLC (NPI 1538548177, Dallas, TX); Methodist-Cdi (NPI 1164829214, Plano, TX); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 1989
## Record status
- **NPPES last updated:** February 4, 2021
- **Other identifiers:** Medicaid 128943103 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1568465920) · Data from the CMS NPPES public registry.