LARRY L ELLIS DO
NPI 1972572576
Family Medicine in Tulsa, OK

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
65.74/100
CMS Quality Rating
2345 SOUTHWEST BLVD, TULSA, OK 74107(918) 582-1980 Get Directions Write a Review

NPPES record last updated: March 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larry L Ellis Do NPPES

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

LARRY L ELLIS DO (NPI 1972572576) is an individual family medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (3803) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (1999).

NPPES Registry Identity

NPI1972572576
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLARRY L ELLISCredential: DO
Location Address2345 SOUTHWEST BLVDTulsa, OK 74107-2705
Mailing Address2345 Southwest BlvdTulsa, OK 74107-2705 · (918) 582-1980
Sole ProprietorYes
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1999
Enumeration DateMarch 16, 2006
Last NPPES UpdateMarch 7, 2011
NPI 1972572576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 3803
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.

2345 SOUTHWEST BLVD, Tulsa, OK 74107

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

Larry L Ellis Do 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 ID6608842166
PECOS Enrollment IDI20040907000340
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 4

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.

Osteopathic manipulative treatment, 3-4 body regions 98926
Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.
111 services23 patients
Osteopathic manipulative treatment, 3-4 body regions 98926
Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.
49 services15 patients
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.
20 services20 patients
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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK
OwnershipTribal
CMS Certification Number370172
Location1 Choctaw WayTalihina, OK 74571 · Latimer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74107 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

65.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Improvement Activities40
Cost42.43

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.

Family Medicine
2345 SOUTHWEST BLVD
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
2345 SOUTHWEST BLVD
TULSA, OK 74107
Family Medicine
2345 SOUTHWEST BLVD
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
2345 SOUTHWEST BLVD
TULSA, OK 74107
Clinic/Center (Medical Specialty)
2345 SOUTHWEST BLVD
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
2345 SOUTHWEST BLVD
TULSA, OK 74107
Psychologist (Health Service)
2345 SOUTHWEST BLVD
TULSA, OK 74107
Pharmacist (Ambulatory Care)
2345 SOUTHWEST BLVD
TULSA, OK 74107

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 Larry Ellis's NPI number?

The NPI number for Larry Ellis is 1972572576. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Larry Ellis located?

Larry Ellis practices at 2345 Southwest Blvd, Tulsa, OK 74107. The listed phone number is (918) 582-1980.

What is Larry Ellis's specialty?

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

Is Larry Ellis enrolled in Medicare?

Yes. Larry 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.

Is Larry Ellis affiliated with any hospitals?

According to CMS data, Larry Ellis is affiliated with Choctaw Nation Health Services Authority.

When was this NPI record last updated?

The NPPES record for Larry Ellis was last updated on March 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.