CLAYTON L ELLISON (PA) – Physician Assistant, NPI 1295956316
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for CLAYTON L ELLISON (PA)
PO BOX 21850
HOT SPRINGS, AR 719031850
Phone:
Type: Mailing
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 450-6063
Fax: (904) 450-6401
Type: Mailing
13137 SORRENTO RD
PENSACOLA, FL 325078777
Phone: (850) 416-0020
Fax: (850) 492-6340
Type: Location
234, West Glenwood Avenue, Old North Knoxville, Fourth and Gill, North Knoxville, Knoxville, Knox County, East Tennessee, Tennessee, 37917, United States
GLENWOOD, AR 719439243
Phone: (870) 356-4821
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Lilly USA, LLC ($100).
Total Amount
$135
General + Research + Ownership
Payments
3
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $100 |
| Ortho-Clinical Diagnostics, Inc. | $18 |
| Novo Nordisk Inc | $18 |
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: 2020-11-11
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20201111000298 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 454 | 261 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 260 | 124 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 233 | 176 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 198 | 198 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 150 | 106 | $0 |
Insurance plans in this area (ZIP 71903)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AR | 83036 | Hemoglobin A1C level | 39 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| Nephrology, Internal Medicine | FL | |
| Interventional Cardiology | AL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Orthopedic Surgery | FL |
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