JARED S ELLIS (MD) – Family Medicine Physician, NPI 1790785756

JARED S ELLIS (MD) is a healthcare provider. based in Tuscaloosa, Alabama. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 17418 (AL). The NPI Number for JARED S ELLIS (MD) is 1790785756

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JARED S ELLIS (MD)
NPI
1790785756
Phone
(205) 348-1278
Address
850 PETER BRYCE BLVD
Enumeration Date
29 July 2005
Last Update Date
1 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053481770
Graduation Year
1992 (34 years ago)
PAC ID
6608784830
Group Practice PAC ID
6103724489
Professional Enrollment ID
I20090210000621
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JARED S ELLIS (MD)

  • Peter Bryce Boulevard, Riverview, Tuscaloosa, Tuscaloosa County, Alabama, 35487, United States

    TUSCALOOSA, AL 354017419

    Phone: (205) 348-1278

    Fax: (205) 348-6561

    Type: Mailing

  • 2201 JACK WARNER PKWY

    TUSCALOOSA, AL 354011090

    Phone: (205) 523-5618

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 259 Open Payments records for all available years, with a total value of $4,870.

Total Amount is formed as General ($4,870) + Research ($0) + Ownership ($0) = $4,870.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($719).

Total Amount

$4,870

General + Research + Ownership

Payments

259

Total payment records

General Amount

$4,870

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-10

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10646$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
99215Established patient office or other outpatient visit, 40-54 minutes2114$0
View full utilization report →

Insurance plans in this area (ZIP 35401)

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Provider's Procedures

JARED S ELLIS (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAL83036Hemoglobin A1C level2524
FAMILY MEDICINEAL85610Blood test, clotting time1913

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103724489View full group profile
NameSpecialtyState
Neurology, Internal MedicineAL
Family PracticeMS
O B S T E T R I C S/ G Y N E C O L O G YNY
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YNY
-AL
Family PracticeAL
Family PracticeAL
Internal MedicineTX
Endocrinology, Internal MedicineAL

Reviews

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Frequently asked questions

How is JARED S ELLIS (MD) identified in CMS data?
CMS-hosted NPPES data lists JARED S ELLIS (MD) with NPI 1790785756.
Can I rely on JARED S ELLIS (MD) being an active provider?
As of the registry snapshot, JARED S ELLIS (MD) is marked active.
What is JARED S ELLIS (MD) best known for clinically?
Directory data describes JARED S ELLIS (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JARED S ELLIS (MD) based?
JARED S ELLIS (MD) is tied to Tuscaloosa, Alabama in the data we show; additional addresses may exist on the full record.
Why does JARED S ELLIS (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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