ROBERT BRIAN ELLIS – Audiologist, NPI 1689185936

ROBERT BRIAN ELLIS is a healthcare provider. based in San diego, California. specializing in QUALIFIED AUDIOLOGIST. They hold a License No. 3140 (CA). The NPI Number for ROBERT BRIAN ELLIS is 1689185936

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT BRIAN ELLIS
NPI
1689185936
Phone
(267) 474-4696
Address
3111 COWLEY WAY
Enumeration Date
13 October 2017
Last Update Date
13 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9075638008
Graduation Year
2016 (10 years ago)
PAC ID
8921360892
Group Practice PAC ID
8628338175
Professional Enrollment ID
I20210609000494
Address ID
AK995085054AN3730XCIRX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

600 QUALIFIED AUDIOLOGIST in CA

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Provider Addresses for ROBERT BRIAN ELLIS

  • 3111, Cowley Way, Sunset, Clairemont, San Diego, San Diego County, California, 92117, United States

    SAN DIEGO, CA 921176554

    Phone: (267) 474-4696

    Type: Mailing

  • CVS Pharmacy, 318, West El Norte Parkway, Escondido, San Diego County, California, 92026, United States

    ESCONDIDO, CA 920261925

    Phone: (760) 489-1505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-06-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210609000494IQualified AudiologistAKTBD

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.

Verify on CMS Revalidation Lookup Tool

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
92557Comprehensive hearing and speech recognition test202201$0
92567Test to assess middle ear function148146$0
92553Test for hearing various pitches using earphone and device placed against the bone2120$0
View full utilization report →

Insurance plans in this area (ZIP 92117)

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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: 8628338175View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to ROBERT BRIAN ELLIS?
NPI 1689185936 is assigned to ROBERT BRIAN ELLIS under the national enumeration system.
Is ROBERT BRIAN ELLIS currently active in the NPI registry?
CMS-published data lists ROBERT BRIAN ELLIS as an active registrant.
Can you summarize ROBERT BRIAN ELLIS's specialty in plain language?
Clinically, the directory lists ROBERT BRIAN ELLIS with Audiologist. Clinical services aligned with this taxonomy classification.
Where is ROBERT BRIAN ELLIS's primary listing?
We display San Diego, California because that is what the record indicates for ROBERT BRIAN ELLIS.
Is ROBERT BRIAN ELLIS a real provider?
This page reflects official NPPES data for NPI 1689185936. Always confirm identity and privileges with the practice and licensing boards.

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