DR. JIMMY SCOTT ELLIS D.O.
NPI 1609891795
Obstetrics & Gynecology in Craig, CO

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
785 RUSSELL ST, SUITE 100, CRAIG, CO 81625(970) 826-2420(970) 826-2429 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jimmy Scott Ellis D.o. NPPES

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

DR. JIMMY SCOTT ELLIS D.O. (NPI 1609891795) is an individual obstetrics & gynecology provider in Craig, Colorado, licensed in Colorado (46656) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and maintains a secondary practice location in Rapid City.

NPPES Registry Identity

NPI1609891795
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JIMMY SCOTT ELLISCredential: D.O.
Location Address785 RUSSELL ST, SUITE 100Craig, CO 81625-2019
Mailing Address785 Russell St, Suite 100Craig, CO 81625-2019 · (970) 826-2420 · Fax (970) 826-2429
Fax(970) 826-2429
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1609891795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CO · 46656✔ Licensed in WA · OP61014771✔ Licensed in SD · 14709✔ Licensed in TX · L6229
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
785 RUSSELL ST, Craig, CO 81625

Secondary Practice Location 1

Location 1353 Fairmont BlvdRapid City, SD 57701-7375 · Phone (864) 908-3530

Other Identifiers 9

Medicaid1609891795SD
Other8J3940TX · Bcbs
Medicaid159097801TX
Other133125100Firstcare & Sw Life&healt
Other311819386790650000Tricare
Other3277999Cigna
OtherP00070099TX · Railroad Medicare
Other7431448Aetna
Medicaid01936531CO

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

Dr. Jimmy Scott 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 ID5395805386
PECOS Enrollment IDI20231102003738
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 Reassignments

12

Medicare enrollment records show Jimmy Ellis reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
4050 BRIARGATE PKWY
Colorado Springs, CO 80920
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Obhg Colorado PC
  • 66 clinicians in this Medicare group
Obstetrics & Gynecology
3006 TOWER RD
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 16 clinicians in this Medicare group
Obstetrics & Gynecology
353 FAIRMONT BLVD
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 31 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2015 MULBERRY AVE STE 250
Mt Pleasant, TX 75455
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
Family Medicine
22850 NE 8TH ST, STE 103
Sammamish, WA 98074
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: King County Public Hospital District No 2
  • 1,074 clinicians in this Medicare group
Family Medicine
1717 S J ST # MS 20-15
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 1,526 clinicians in this Medicare group
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
Obstetrics & Gynecology
1800 NW MYHRE RD
Silverdale, WA 98383
  • Reassigned Medicare billing, Washington enrollment
  • 223 clinicians in this Medicare group
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Obhg California PC
  • 711 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
7 DUNNING ST
Claremont, NH 03743
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 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

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81625 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
53%72 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
77%446 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%442 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%176 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
67%704 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%420 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 375 patients
Patients tobacco: 9% · 45 patients
78%371 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%704 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
19%704 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
46%704 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 8

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

Physician Assistant
785 RUSSELL ST
CRAIG, CO 81625
Family Medicine
785 RUSSELL ST
CRAIG, CO 81625
Clinic/Center (Medical Specialty)
785 RUSSELL ST
CRAIG, CO 81625
Physician Assistant
785 RUSSELL ST
CRAIG, CO 81625
Clinic/Center (Multi-Specialty)
785 RUSSELL ST
CRAIG, CO 81625
Physician Assistant
785 RUSSELL ST
CRAIG, CO 81625
Physician Assistant (Medical)
785 RUSSELL ST
CRAIG, CO 81625
Orthopaedic Surgery
785 RUSSELL ST
CRAIG, CO 81625

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 Jimmy Ellis's NPI number?

The NPI number for Jimmy Ellis is 1609891795. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Jimmy Ellis located?

Jimmy Ellis practices at 785 Russell St Suite 100, Craig, CO 81625. The listed phone number is (970) 826-2420.

What is Jimmy Ellis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jimmy Ellis enrolled in Medicare?

Yes. Jimmy 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 organizations bill Medicare for Jimmy Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jimmy Ellis reassigns Medicare benefits to 12 organizations: Obhg Colorado, P.C. (Colorado Springs, CO), Rushmore Ob-Gyn PC (Rapid City, SD), Obhg South Dakota PC (Rapid City, SD), Longview Wellness Center Inc (Mt Pleasant, TX), Public Hospital District No 2 (Sammamish, WA) and 7 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 Jimmy Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jimmy Ellis accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Taro Health and Wellmark of South Dakota, Inc. list Jimmy Ellis 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 Jimmy Ellis affiliated with any hospitals?

According to CMS data, Jimmy Ellis is affiliated with Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Jimmy Ellis was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.