DR. JIM PATRICK ELLISON (M.D.) – Nephrology Physician, NPI 1811251291
Nephrology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
194 NEPHROLOGY in AL
Provider Addresses for DR. JIM PATRICK ELLISON (M.D.)
100 RICE MINE RD N STE B
TUSCALOOSA, AL 354062375
Phone: (205) 349-4200
Fax: (205) 349-4285
Type: Mailing
MEDICAL CENTER BLVD
WINSTON SALEM, NC 271570001
Phone: (336) 716-6410
Type: Mailing
ONE MEDICAL CENTER BLVD.
WINSTON SALEM, NC 271570001
Phone: (336) 716-6410
Type: Mailing
ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC 271572375
Phone: (336) 716-6410
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $96.
Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.
Last reported payment date: 2023-04-13 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($96).
Total Amount
$96
General + Research + Ownership
Payments
1
Total payment records
General Amount
$96
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $96 |
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: 2023-08-22
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230822003723 | I | Nephrology | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 14 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 35406)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| - | NC | |
| P O D I A T R Y | NC | |
| Diagnostic Radiology | NC | |
| - | NC | |
| A N E S T H E S I O L O G Y | MI | |
| - | NC | |
| Orthopedic Surgery | TX | |
| Physician Assistant | NC | |
| - | NC |
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