DR. RICHARD B. ELLISON JR. M.D.
NPI 1699781948
Radiology - Diagnostic Radiology in Jackson, MS

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
86.49/100
CMS Quality Rating
969 LAKELAND DR, JACKSON, MS 39216(877) 406-2916(601) 982-7909 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard B. Ellison Jr. M.d. NPPES

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

DR. RICHARD B. ELLISON JR. M.D. (NPI 1699781948) is an individual diagnostic radiology provider in Jackson, Mississippi, licensed in Mississippi (12108) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Merit Health River Region, and is a graduate of University Of Mississippi School Of Medicine (1988).

NPPES Registry Identity

NPI1699781948
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RICHARD B. ELLISON JR.Credential: M.D.
Location Address969 LAKELAND DRJackson, MS 39216-4606
Mailing AddressPo Box 55769Jackson, MS 39296-5769 · (601) 200-6162
Fax(601) 982-7909
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1988
Enumeration DateJuly 31, 2006
Last NPPES UpdateFebruary 9, 2017
NPI 1699781948 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 MS · 12108
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
969 LAKELAND DR, Jackson, MS 39216

Other Identifiers 3

Other1861428351Group Npi
Medicare UPINE17089
Medicaid00113408MS

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. Richard B. Ellison Jr. 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 ID7214931740
PECOS Enrollment IDI20070216000691
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 46

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
894 services894 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
858 services858 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
420 services376 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
376 services367 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
248 services237 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
243 services243 patients

Hospital Affiliations CMS Care Compare 5

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

Merit Health River Region

Acute Care Hospitals · Vicksburg, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250031
Location2100 Hwy 61 NVicksburg, MS 39183 · Warren County
Emergency services Birthing friendly

Neshoba County General Hospital

Acute Care Hospitals · Philadelphia, MS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250043
Location1001 Holland AvenuePhiladelphia, MS 39350 · Neshoba County
Emergency services

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Merit Health Women's Hospital

Acute Care Hospitals · Flowood, MS
OwnershipProprietary
CMS Certification Number250136
Location1026 River Oaks DriveFlowood, MS 39232 · Rankin County
Birthing friendly

Copiah County Medical Center

Critical Access Hospitals · Hazlehurst, MS
OwnershipGovernment - Local
CMS Certification Number251327
Location21790 Highway 28Hazlehurst, MS 39083 · Copiah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

86.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost51.89

Other Providers at the Same Location NPPES 20

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

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216

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 Richard Ellison's NPI number?

The NPI number for Richard Ellison is 1699781948. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Richard Ellison located?

Richard Ellison practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (877) 406-2916.

What is Richard Ellison's specialty?

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

Is Richard Ellison enrolled in Medicare?

Yes. Richard Ellison 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 Richard Ellison accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Richard Ellison 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 Richard Ellison affiliated with any hospitals?

According to CMS data, Richard Ellison is affiliated with Merit Health River Region, Neshoba County General Hospital, St Dominic-Jackson Memorial Hospital, Merit Health Women's Hospital and Copiah County Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Ellison was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.