DR. MARK ELLIS DPM
NPI 1972897080
Podiatrist - Foot & Ankle Surgery in Globe, AZ

Q: What is Mark Ellis's NPI number?

The NPI number for Mark Ellis is 1972897080. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Q: What is Mark Ellis's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Mark Ellis was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment

5880 S HOSPITAL DR, GLOBE, AZ 85501(928) 425-3246 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 10, 2025, May 17, 2018, Sep 28, 2016 and 1 more (4 updates tracked since 2016).

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About Dr. Mark Ellis Dpm NPPES

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

DR. MARK ELLIS DPM (NPI 1972897080) is an individual foot & ankle surgery provider in Globe, Arizona, licensed in Arizona (0821) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Draper, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1972897080

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. MARK ELLISCredential: DPM

Location Address5880 S HOSPITAL DRGlobe, AZ 85501-9447

Mailing Address5994 S Hospital DrGlobe, AZ 85501-9462

Phone(928) 425-3246

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJune 6, 2011

Last NPPES UpdateJune 10, 20254 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1972897080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in AZ · 0821✔ Licensed in UT · 10105797-0501

Also ListedPodiatrist · Public MedicineTaxonomy 213EP0504X · License 10105797-0501 (UT)

Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X · License 10105797-0501 (UT)

Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X · License 10105797-0501 (UT)

5880 S HOSPITAL DR, Globe, AZ 85501

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Secondary Practice Location 1

Location 112592 S 150 EDraper, UT 84020-8611 · Phone (713) 377-2167

Other Identifiers 1

Medicaid367438AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Ellis Dpm 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 ID5294957320

PECOS Enrollment IDI20171116000146, I20180615002417

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.

Medicare Billing Reassignments

Medicare enrollment records show Mark Ellis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cobre Valley Regional Medical Center

Same address

Rural Health

5880 S HOSPITAL DR
Globe, AZ 85501

Reassigned Medicare billing, Arizona enrollment
Also billed through NPI 1871566521 (Arizona)
94 clinicians in this Medicare group

NPI 1538315890 (928) 425-3247

San Carlos Apache Healthcare Corporation

23 mi

Critical Access Hospital

103 MEDICINE WAY ROAD
Peridot, AZ 85542

Reassigned Medicare billing, Texas enrollment
438 clinicians in this Medicare group

NPI 1265813075 (928) 475-1200

Tuba City Regional Health Care Corporation

114 mi

Family Medicine

HIGHWAY 89 NORTH AT THE 466 MILE MARKER, 1/8 MILE N OF CAMERON CHAPTER HOUSE
Cameron, AZ 86020

Reassigned Medicare billing, Texas enrollment
540 clinicians in this Medicare group

NPI 1134382211 (928) 283-2672

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 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.

82 services14 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

75 services17 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.

40 services17 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

26 services17 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.

22 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services15 patients

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.

COBRE VALLEY REGIONAL MEDICAL CENTER

Clinical Medical Laboratory