DR. PATRICK MICHAEL ELLISON (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1619081155

DR. PATRICK MICHAEL ELLISON (M.D.) is a healthcare provider. based in Tampa, Florida. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD-18276 (HI). The NPI Number for DR. PATRICK MICHAEL ELLISON (M.D.) is 1619081155

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICK MICHAEL ELLISON (M.D.)
NPI
1619081155
Phone
(813) 827-9548
Address
8415 BAYSHORE BLVD
Enumeration Date
19 August 2006
Last Update Date
26 October 2015

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
8085211102
Graduation Year
2000 (26 years ago)
PAC ID
1658671862
Group Practice PAC ID
4688769227
Professional Enrollment ID
I20151119001439
Address ID
HI968132412HO1329XSTXX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

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Provider Addresses for DR. PATRICK MICHAEL ELLISON (M.D.)

  • 8415, Bayshore Boulevard, Tampa, Hillsborough County, Florida, 33621, United States

    TAMPA, FL 336211607

    Phone: (813) 827-9548

    Fax: (813) 828-5731

    Type: Location

  • Lusitana Street, Pacific Heights, East Honolulu, Honolulu, Honolulu County, Hawaii, 96843, United States

    HONOLULU, HI 968132412

    Phone: (808) 521-1102

    Fax: (808) 521-1103

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: GENZYME CORPORATION ($32).

Total Amount

$52

General + Research + Ownership

Payments

2

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-11-19

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
I20151119001439IDermatologyHITBD

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks291205$0
88331Pathology examination of specimen during surgery, first tissue block261107$0
99212Established patient office or other outpatient visit, 10-19 minutes208108$0
17003Destruction of precancer skin growth, 2-14 growths16225$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks161100$0
View full utilization report →

Insurance plans in this area (ZIP 33621)

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Provider's Procedures

DR. PATRICK MICHAEL ELLISON (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL11101Biopsy of each additional growth of skin and/or tissue9639
DERMATOLOGYFL13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet125108
DERMATOLOGYFL17003Destruction of 2-14 skin growths13017

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: 4688769227View full group profile
NameSpecialtyState
D E R M A T O L O G YMN
D E R M A T O L O G YHI

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Frequently asked questions

What is the standard ID for DR. PATRICK MICHAEL ELLISON (M.D.) in the U.S.?
In the U.S., DR. PATRICK MICHAEL ELLISON (M.D.) is identified by NPI 1619081155.
Should I treat DR. PATRICK MICHAEL ELLISON (M.D.) as an active provider?
Patients and plans typically see DR. PATRICK MICHAEL ELLISON (M.D.) as active in the national extract.
How should patients interpret DR. PATRICK MICHAEL ELLISON (M.D.)'s specialty?
The extract shows MOHS-Micrographic Surgery Physician for DR. PATRICK MICHAEL ELLISON (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. PATRICK MICHAEL ELLISON (M.D.)?
DR. PATRICK MICHAEL ELLISON (M.D.) shows a connection to Tampa, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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