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

Active since April 05, 2006PECOS Enrolled
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: August 16, 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 Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (1992).

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

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 (PECOS)

John M Ellis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719978121
PECOS Enrollment IDI20040524000048, I20251006002570, I20260316002967, I20260401002874, I20260515001942
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 89

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.

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.
33,765 services389 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.
701 services561 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.
338 services33 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.
332 services320 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.
328 services304 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.
296 services289 patients

Hospital Affiliations CMS Care Compare 5

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330332
Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County
Emergency services

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, P.O.B., SUITE 335
UTICA, NY 13502
Pharmacist
1656 CHAMPLIN AVE
UTICA, NY 13502
Nurse Practitioner
1656 CHAMPLIN AVE
UTICA, NY 13502
Speech-Language Pathologist
1656 CHAMPLIN AVE
UTICA, NY 13502
Physician Assistant
1656 CHAMPLIN AVE
UTICA, NY 13502
Dentist
1656 CHAMPLIN AVE
UTICA, NY 13502
Social Worker
1656 CHAMPLIN AVE
UTICA, NY 13502
Student in an Organized Health Care Education/Training Program
1656 CHAMPLIN AVE
UTICA, NY 13502

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 John Ellis's NPI number?

The NPI number for John Ellis is 1962464818. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is John Ellis located?

John Ellis practices at 1656 Champlin Ave, Utica, NY 13502. The listed phone number is (315) 624-6116.

What is John Ellis's specialty?

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

Is John Ellis enrolled in Medicare?

Yes. John Ellis is registered in the Medicare PECOS enrollment system.

Is John Ellis affiliated with any hospitals?

According to CMS data, John Ellis is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Wynn Hospital, St Francis Hospital - The Heart Center, Mercy Medical Center and Chsli St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for John Ellis was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.