DAVID J ELLINGSON (P.A.) – Surgical Physician Assistant, NPI 1144228685
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for DAVID J ELLINGSON (P.A.)
Waterman Way, Tavares, Lake County, Florida, 32278, United States
TAVARES, FL 327785252
Phone: (352) 343-1216
Fax: (352) 343-1582
Type: Location
PO BOX 935921
ATLANTA, GA 311935921
Phone:
Type: Mailing
3310 WATERMAN WAY
TAVARES, FL 327785250
Phone: (352) 343-1216
Fax: (352) 343-1582
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $1,814.
Total Amount is formed as General ($1,814) + Research ($0) + Ownership ($0) = $1,814.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($986).
Total Amount
$1,814
General + Research + Ownership
Payments
34
Total payment records
General Amount
$1,814
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $986 |
| ABIOMED | $302 |
| Edwards Lifesciences Corporation | $107 |
| W. L. Gore & Associates, Inc. | $94 |
| Inari Medical, Inc. | $75 |
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: 2004-04-20
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 |
|---|---|---|---|---|
| I20040420000264 | 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 |
|---|---|---|---|---|
| 33533 | Coronary artery bypass using artery graft, 1 graft | 11 | 11 | $0 |
Insurance plans in this area (ZIP 32778)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 15 | 15 |
| PHYSICIAN ASSISTANT | FL | 33518 | Combined multiple vein and artery heart artery bypasses | 37 | 37 |
| PHYSICIAN ASSISTANT | FL | 33533 | Heart artery bypass to repair one artery | 82 | 82 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y | PA | |
| Nurse Practitioner | FL | |
| Physician Assistant | PA | |
| Physician Assistant | FL | |
| - | FL | |
| N E U R O S U R G E R Y | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| - | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology) | VA |
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