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CLARENCE V ELLIS MD
NPI 1982647475
Family Medicine in Lakewood, CO

Active since June 13, 2006PECOS Enrolled
12790 W ALAMEDA PKWY STE A, LAKEWOOD, CO 80228(303) 403-6350(303) 403-6372 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clarence V Ellis Md NPPES

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

CLARENCE V ELLIS MD (NPI 1982647475) is an individual family medicine provider in Lakewood, Colorado, licensed in Colorado (33692) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982647475
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLARENCE V ELLISCredential: MD
Location Address12790 W ALAMEDA PKWY STE ALakewood, CO 80228-2850
Mailing Address2420 W 26th Ave Ste 400dDenver, CO 80211-5357 · (303) 988-4870 · Fax (303) 984-1114
Phone(303) 403-6350
Fax(303) 403-6372
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateJanuary 25, 2012
✔ NPI 1982647475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 33692
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.
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 33692 (CO)
12790 W ALAMEDA PKWY STE A, Lakewood, CO 80228
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Other Identifiers 4

Medicare UPINB04102
Medicaid61572578CO
Other0801103606Medicare Railroad
Medicare PINC163098CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

2

Medicare enrollment records show Clarence Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Intermountain Front Range, Inc.
1.9 mi
Radiation Oncology
400 INDIANA ST STE 220
Golden, CO 80401
  • Reassigned Medicare billing, Colorado enrollment
  • 111 clinicians in this Medicare group
NPI 1437737665 (720) 420-3300
Intermountain Medical Group Denver, LLC
1.9 mi
Cardiovascular Disease
400 INDIANA ST STE 390
Golden, CO 80401
  • Reassigned Medicare billing, Colorado enrollment
  • 1,270 clinicians in this Medicare group
NPI 1275375339 (303) 716-8027

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80228 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
6 suppliers11 claims23 services$6.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$14.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers27 claims27 services$66.25 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 3

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

JOSHUA LUEY MCKEE
Internal Medicine
12790 W ALAMEDA PKWY STE A
LAKEWOOD, CO 80228
Jefferson County (303) 403-6350
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Family Medicine
12790 W ALAMEDA PKWY STE A
LAKEWOOD, CO 80228
Jefferson County (303) 403-6350
SUZANNE M BECK DO
Family Medicine
12790 W ALAMEDA PKWY STE A
LAKEWOOD, CO 80228
Jefferson County (303) 403-6350

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 Clarence Ellis's NPI number?

The NPI number for Clarence Ellis is 1982647475. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Clarence Ellis located?

Clarence Ellis practices at 12790 W Alameda Pkwy Ste A, Lakewood, CO 80228. The listed phone number is (303) 403-6350.

What is Clarence Ellis's specialty?

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

Is Clarence Ellis enrolled in Medicare?

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

Which organizations bill Medicare for Clarence Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarence Ellis reassigns Medicare benefits to 2 organizations: Intermountain Front Range, Inc. (Golden, CO) and Intermountain Medical Group Denver, LLC (Golden, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clarence Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clarence Ellis was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.