JOHN M ELLIS MD
NPI 1962464818
Radiology - Diagnostic Radiology in Utica, NY

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
1656 CHAMPLIN AVE, UTICA, NY 13502(315) 624-6116 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John M Ellis Md NPPES

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

JOHN M ELLIS MD (NPI 1962464818) is an individual diagnostic radiology provider in Utica, New York, licensed in New York (209356) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962464818
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOHN M ELLISCredential: MD
Location Address1656 CHAMPLIN AVEUtica, NY 13502-4830
Mailing Address185 Genesee St Ste 600Utica, NY 13501-2110 · (315) 793-8806 · Fax (315) 793-8046
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateApril 5, 2006
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1962464818 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 NY · 209356
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1656 CHAMPLIN AVE, Utica, NY 13502

Secondary Practice Locations 2

Location 113813 METRO PKWYFORT MYERS, FL 33912-4343 · Phone (855) 674-4624 · Fax (941) 883-8386
Location 2185 Genesee St, Suite 600Utica, NY 13501-2199 · Phone (315) 793-8806 · Fax (315) 793-8046

Other Identifiers 8

OtherP010209356NY · Bcbs
Other300099765NY · Rail Road Medicare
Medicaid01874611NY
Other4199650NY · Ghi
Other040426013962NY · Fidelis
Other960976NY · Mvp
Other209356-1NY · Wc
Other10037625NY · Cdphp

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

John M 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 ID7719978121
PECOS Enrollment IDI20040524000048
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 87

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
29,775 services322 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.
706 services605 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
314 services294 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
300 services287 patients
Injection, gadoxetate disodium, 1 ml A9581
Gadoxetate disodium is a contrast agent used during MRI scans to help visualize the liver. It's injected into your vein before the scan, enhancing the images and aiding in accurate diagnosis. It's safe and side effects are rare.
264 services30 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
247 services235 patients

Hospital Affiliations CMS Care Compare 3

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330215
Location1500 North James StreetRome, NY 13440 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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

Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
100%41 patients
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%1,339 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%89 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…
97%115 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 20

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

Surgery
1656 CHAMPLIN AVE, SUITE 203
UTICA, NY 13502
Pediatrics (Adolescent Medicine)
1656 CHAMPLIN AVE
UTICA, NY 13502
Neuromusculoskeletal Medicine, Sports Medicine
1656 CHAMPLIN AVE
UTICA, NY 13502
Internal Medicine
1656 CHAMPLIN AVE
UTICA, NY 13502
Pathology (Anatomic Pathology & Clinical Pathology)
1656 CHAMPLIN AVE, DEPARTMENT OF PATHOLOGY
UTICA, NY 13502
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1656 CHAMPLIN AVE, SUITE 338
UTICA, NY 13502
Radiology (Diagnostic Radiology)
1656 CHAMPLIN AVE, SUITE 229
UTICA, NY 13502
Internal Medicine
1656 CHAMPLIN AVE
UTICA, NY 13502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962464818, enumerated as an "individual" on April 05, 2006.

The provider is located at 1656 CHAMPLIN AVE UTICA, NY 13502 and the phone number is (315) 624-6116.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

John Ellis is affiliated with: WYNN HOSPITAL, BASSETT HEALTHCARE and ROME MEMORIAL HOSPITAL, INC.