DR. KRISTIN ALEXANDRIA ELLIS (D.O.) – Urology Physician, NPI 1629472170
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
898 UROLOGY in FL
Provider Addresses for DR. KRISTIN ALEXANDRIA ELLIS (D.O.)
3801 S KANNER HWY STE 200
STUART, FL 349944801
Phone: (772) 419-4834
Type: Mailing
1900 W POLK ST
SUITE 465
CHICAGO, IL 606123723
Phone: (312) 864-5233
Type: Mailing
102 TECHNOLOGY DR STE 110A
BUTLER, PA 160011784
Phone: (833) 995-0121
Fax: (724) 482-4785
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $709.
Total Amount is formed as General ($709) + Research ($0) + Ownership ($0) = $709.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($404).
Total Amount
$709
General + Research + Ownership
Payments
45
Total payment records
General Amount
$709
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $404 |
| PFIZER INC. | $118 |
| ABBVIE INC. | $110 |
| Ethicon US, LLC | $27 |
| Laborie Medical Technologies Corp. | $26 |
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: 2024-03-18
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 |
|---|---|---|---|---|
| I20240318001461 | I | Urology | 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 |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 295 | 192 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 175 | 134 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 113 | 113 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 73 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 52 | $0 |
Insurance plans in this area (ZIP 34994)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Orthopedic Surgery | FL | |
| Internal Medicine | AZ | |
| Orthopedic Surgery | ME | |
| Physician Assistant | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Radiation Oncology | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | WV | |
| N E U R O L O G Y | FL |
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