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DR. JAMES K ELLIS M.D.
NPI 1982792750
Internal Medicine - Hematology & Oncology in Thibodaux, LA

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
608 N ACADIA RD, THIBODAUX, LA 70301(985) 449-4642(985) 449-2560 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James K Ellis M.d. NPPES

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

DR. JAMES K ELLIS M.D. (NPI 1982792750) is an individual hematology & oncology provider in Thibodaux, Louisiana, licensed in Louisiana (021233) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with West Jefferson Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1991).

NPPES Registry Identity

NPI1982792750
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. JAMES K ELLISCredential: M.D.
Location Address608 N ACADIA RDThibodaux, LA 70301-4847
Mailing AddressPo Box 5478Thibodaux, LA 70302-5478 · (985) 449-4642 · Fax (985) 449-2560
Phone(985) 449-4642
Fax(985) 449-2560
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1991
Enumeration DateOctober 10, 2006
Last NPPES UpdateFebruary 1, 2017
✔ NPI 1982792750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in LA · 021233
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
608 N ACADIA RD, Thibodaux, LA 70301
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Other Identifiers 4

Medicare ID-Type Unspecified5R059LA
Other721245423LA · United Healthcare
Medicaid1932205LA
Medicare UPINF32728LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia 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. James K 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 ID1850292038
PECOS Enrollment IDI20040120000451
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 6

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 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
66 services31 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.
63 services38 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.
35 services30 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.
26 services18 patients

Hospital Affiliations CMS Care Compare 3

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

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70301 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
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier22 claims759 services$30.02 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims573 services$20.24 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims443 services$7.09 avg. paid by Medicare
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6237
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims380 services$7.69 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 9

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

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Surgery (Plastic and Reconstructive Surgery)
608 N ACADIA RD, STE 3B
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4490
BAYOU ONCOLOGY SPECIALISTS, LLC
Clinic/Center (Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4334
R CLAY GOULD MD INC
Radiology (Radiation Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4338
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Internal Medicine (Hematology & Oncology)
608 N ACADIA RD, FL 3
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4346
MR. GERARDO ARIAS M.D.
Internal Medicine (Hematology & Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4787
DR. NGUYEN DUC DINH DANG M.D.
Radiology (Radiation Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4338
DR. SCOTT A HEBERT M.D.
Internal Medicine (Hematology & Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4346
LAURA GROS RN
Registered Nurse (Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4008

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 James Ellis's NPI number?

The NPI number for James Ellis is 1982792750. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is James Ellis located?

James Ellis practices at 608 N Acadia Rd, Thibodaux, LA 70301. The listed phone number is (985) 449-4642.

What is James Ellis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is James Ellis enrolled in Medicare?

Yes. James 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 James Ellis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list James 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 James Ellis affiliated with any hospitals?

According to CMS data, James Ellis is affiliated with West Jefferson Medical Center, Touro Infirmary and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for James Ellis was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.