MARK A ELLIS MD
NPI 1730150194
Pain Medicine - Interventional Pain Medicine in Athens, GA

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
92.35/100
CMS Quality Rating
1765 OLD WEST BROAD ST, BLDG 1 STE 200, ATHENS, GA 30606(706) 208-0451(706) 208-0147 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark A Ellis Md NPPES

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

MARK A ELLIS MD (NPI 1730150194) is an individual interventional pain medicine provider in Athens, Georgia, licensed in Georgia (036525) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is affiliated with Piedmont Athens Regional Medical Center.

NPPES Registry Identity

NPI1730150194
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameMARK A ELLISCredential: MD
Location Address1765 OLD WEST BROAD ST, BLDG 1 STE 200Athens, GA 30606-2867
Mailing AddressPo Box 7577Athens, GA 30604-7577 · (706) 208-0451 · Fax (706) 208-0147
Fax(706) 208-0147
Sole ProprietorYes
Enumeration DateFebruary 1, 2006
Last NPPES UpdateAugust 21, 2012
NPI 1730150194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in GA · 036525
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

1765 OLD WEST BROAD ST, Athens, GA 30606

Other Identifiers 3

Medicare ID-Type Unspecified05BDHZQGA
Medicaid000526479BGA
Medicare UPINF53291GA

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

Mark A Ellis 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.

PECOS PAC ID9537103619
PECOS Enrollment IDI20070110000151
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 23

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, 20-29 minutes 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.
6,066 services740 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
2,236 services702 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
2,162 services679 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
513 services357 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
356 services65 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
299 services176 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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.

92.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.89
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
100%35 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
47%1,550 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%27,992 patients5/55-star benchmark: 100%
e-Prescribing
94%144 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%10,191 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 15% · 2,830 patients
Patients screened: 21% · 2,830 patients
16%184 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%2,615 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
63%840 patients3/55-star benchmark: 91%
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 20

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

Occupational Therapist (Hand)
1765 OLD WEST BROAD ST, BLDG 2, STE 100
ATHENS, GA 30606
Physical Therapist (Orthopedic)
1765 OLD WEST BROAD ST, BLDG 2, STE 200
ATHENS, GA 30606
Physical Therapist
1765 OLD WEST BROAD ST, BLDG 2, STE 200
ATHENS, GA 30606
Physical Therapy Assistant
1765 OLD WEST BROAD ST, BLDG 2, STE 200
ATHENS, GA 30606
Occupational Therapist
1765 OLD WEST BROAD ST
ATHENS, GA 30606
Occupational Therapist
1765 OLD WEST BROAD ST
ATHENS, GA 30606
Physical Therapist
1765 OLD WEST BROAD ST
ATHENS, GA 30606
Physical Therapist
1765 OLD WEST BROAD ST
ATHENS, GA 30606

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 Mark Ellis's NPI number?

The NPI number for Mark Ellis is 1730150194. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Mark Ellis located?

Mark Ellis practices at 1765 Old West Broad St Bldg 1 Ste 200, Athens, GA 30606. The listed phone number is (706) 208-0451.

What is Mark Ellis's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Mark Ellis enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Ellis accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mark 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 Mark Ellis affiliated with any hospitals?

According to CMS data, Mark Ellis is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Ellis was last updated on August 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.