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DR. JOHN E ELLIS O.D.
NPI 1962465971
Optometrist in Connellsville, PA

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
619 E CRAWFORD AVE, CONNELLSVILLE, PA 15425(724) 628-1370(724) 628-7314 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John E Ellis O.d. NPPES

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

DR. JOHN E ELLIS O.D. (NPI 1962465971) is an individual optometrist in Connellsville, Pennsylvania, licensed in Pennsylvania (OEG001091) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1990).

NPPES Registry Identity

NPI1962465971
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN E ELLISCredential: O.D.
Location Address619 E CRAWFORD AVEConnellsville, PA 15425-2102
Mailing Address619 E Crawford AveConnellsville, PA 15425-2102 · (724) 628-1370 · Fax (724) 628-7314
Phone(724) 628-1370
Fax(724) 628-7314
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1990
Enumeration DateApril 10, 2006
Last NPPES UpdateMarch 5, 2014
✔ NPI 1962465971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG001091
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
619 E CRAWFORD AVE, Connellsville, PA 15425
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Other Identifiers 13

Other118173PA · Unison
Other1451095PA · Umwa
Medicare PIN715656PA
Other123681PA · Aetna
Other397414PA · Health Assurance
Other137989PA · Eyemed
Other03770PA · Gateway
OtherP00230647PA · United Healthcare
Other0009205PA · Doral
Other397414PA · Advantra
OtherEL715656Pa Blue Shield
Medicaid0014138740003PA
Other207741PA · Upmc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. John E Ellis O.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 ID4981516044
PECOS Enrollment IDI20031105000698
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 9

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 with low level od decision making, if using time, 20 minutes or more 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.
478 services403 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
174 services170 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
168 services122 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
161 services154 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
141 services117 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
61 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15425 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier19 claims19 services$46.48 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims18 services$36.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

JOHN E ELLIS
Eyewear Supplier
619 E CRAWFORD AVE
CONNELLSVILLE, PA 15425
Fayette County (724) 628-1370

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 1962465971. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is John Ellis located?

John Ellis practices at 619 E Crawford Ave, Connellsville, PA 15425. The listed phone number is (724) 628-1370.

What is John Ellis's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is John Ellis enrolled in Medicare?

Yes. John 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 John Ellis accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list John 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.

When was this NPI record last updated?

The NPPES record for John Ellis was last updated on March 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.