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DR. DUSTIN CLAY ELLIS M.D.
NPI 1962658989
Family Medicine in Sullivan, IN

Active since August 11, 2008PECOS EnrolledAccepts Medicare Assignment
2186 N HOSPITAL BLVD STE 2, SULLIVAN, IN 47882(812) 268-3318 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2021, Mar 17, 2018, Aug 29, 2017 (3 updates tracked since 2017).

About Dr. Dustin Clay Ellis M.d. NPPES

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

DR. DUSTIN CLAY ELLIS M.D. (NPI 1962658989) is an individual family medicine provider in Sullivan, Indiana, licensed in Indiana (11013685A) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and maintains a secondary practice location in Sullivan.

NPPES Registry Identity

NPI1962658989
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DUSTIN CLAY ELLISCredential: M.D.
Location Address2186 N HOSPITAL BLVD STE 2Sullivan, IN 47882-7654
Mailing AddressPo Box 230, 2229 Mary Sherman DriveSullivan, IN 47882-0230 · (812) 268-3318 · Fax (812) 268-4017
Phone(812) 268-3318
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2007
Enumeration DateAugust 11, 2008
Last NPPES UpdateApril 27, 20213 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1962658989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 11013685A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2186 N HOSPITAL BLVD STE 2, Sullivan, IN 47882
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Secondary Practice Location 1

Location 12229 Mary Sherman DrSullivan, IN 47882-7633 · Phone (812) 268-3318 ext. 206 · Fax (812) 268-4017

Other Identifiers 1

Medicaid200015680AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Dustin Clay Ellis 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 ID3779630926
PECOS Enrollment IDI20090406000246
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 5

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.
461 services255 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
128 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services65 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
34 services34 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
21 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Terre Haute Regional Hospital

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150046
Location3901 S Seventh StTerre Haute, IN 47802 · Vigo County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Greene County General Hospital

Critical Access Hospitals · Linton, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151317
Location1185 N 1000 WLinton, IN 47441 · Greene County
Emergency services Birthing friendly

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN
OwnershipGovernment - Local
CMS Certification Number151327
Location2200 N Section StSullivan, IN 47882 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47882 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%104 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
31%303 patients2/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
18%435 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
43%699 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
19%175 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,658 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%7,978 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
50%766 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%851 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
63%2,568 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
78%2,568 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
78%2,568 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%2,568 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.

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers63 claims155 services$6.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims13 services$1.04 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$19.11 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier24 claims24 services$4.16 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier22 claims22 services$8.09 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier13 claims26 services$5.44 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 4

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

ALEXANDRIA CLEMENTS DO
Family Medicine
2186 N HOSPITAL BLVD STE 2
SULLIVAN, IN 47882
Sullivan County (812) 268-4311
SULLIVAN COUNTY COMMUNITY HOSPITAL
Clinic/Center
2186 N HOSPITAL BLVD STE 2
SULLIVAN, IN 47882
Sullivan County (812) 268-3318
KATHLEEN PIRTLE FNP
Nurse Practitioner
2186 N HOSPITAL BLVD STE 2
SULLIVAN, IN 47882
Sullivan County (812) 268-3318
MRS. TABITHA DEE SIMPSON
Nurse Practitioner (Family)
2186 N HOSPITAL BLVD STE 2
SULLIVAN, IN 47882
Sullivan County (812) 268-3318

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 Dustin Ellis's NPI number?

The NPI number for Dustin Ellis is 1962658989. It was assigned to this individual provider in the NPPES registry on August 11, 2008.

Where is Dustin Ellis located?

Dustin Ellis practices at 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882. The listed phone number is (812) 268-3318.

What is Dustin Ellis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dustin Ellis enrolled in Medicare?

Yes. Dustin 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 Dustin Ellis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Dustin 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 Dustin Ellis affiliated with any hospitals?

According to CMS data, Dustin Ellis is affiliated with Union Hospital Inc, Terre Haute Regional Hospital, Ascension St Vincent Hospital, Greene County General Hospital and Sullivan County Community Hospital.

When was this NPI record last updated?

The NPPES record for Dustin Ellis was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.