DR. AUSTIN ELLIS (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1952822017

DR. AUSTIN ELLIS (MD) is a healthcare provider. based in Orlando, Florida. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 24721 (FL). The NPI Number for DR. AUSTIN ELLIS (MD) is 1952822017

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. AUSTIN ELLIS (MD)
NPI
1952822017
Phone
(727) 244-2980
Address
911 N ORANGE AVE APT 440
Enumeration Date
29 June 2017
Last Update Date
30 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8138447000
Graduation Year
2017 (9 years ago)
PAC ID
7214323427
Group Practice PAC ID
1355324658
Professional Enrollment ID
I20220414001764
Address ID
FL336063571TA1XXXXCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

960 PATHOLOGY in FL

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Provider Addresses for DR. AUSTIN ELLIS (MD)

  • 911 N ORANGE AVE APT 440

    ORLANDO, FL 328011071

    Phone: (727) 244-2980

    Type: Mailing

  • 5751 HOOVER BLVD

    TAMPA, FL 336345340

    Phone: (813) 886-8334

    Type: Mailing

  • Orlando Regional Medical Center, 52, Underwood Street, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 328061110

    Phone: (321) 841-5217

    Type: Location

  • 540 THE RIALTO

    VENICE, FL 342852900

    Phone: (941) 485-7711

    Type: Mailing

  • 3100 E FLETCHER AVE

    TAMPA, FL 336134613

    Phone: (813) 971-6000

    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: 2022-04-14

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
I20220414001764IPathologyFLTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity788430$0
88341Special stained specimen slides to examine tissue, each additional procedure37789$0
88342Special stained specimen slides to examine tissue, initial procedure240223$0
88313Special stained specimen slides to examine tissue including interpretation and report19957$0
88311Preparation of tissue for examination by removing any calcium present134131$0
View full utilization report →

Insurance plans in this area (ZIP 32801)

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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: 1355324658View full group profile
NameSpecialtyState
P A T H O L O G YFL
-FL
P A T H O L O G YTN
Nurse PractitionerFL
P A T H O L O G YKY
P A T H O L O G YFL
-FL
P A T H O L O G YFL
P A T H O L O G YFL
P A T H O L O G YFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. AUSTIN ELLIS (MD)'s NPI?
Yes. DR. AUSTIN ELLIS (MD) is listed with NPI 1952822017 in the public NPI dataset.
Does CMS list DR. AUSTIN ELLIS (MD) as active?
Yes — DR. AUSTIN ELLIS (MD) is active in the NPI listing used on this page.
What is DR. AUSTIN ELLIS (MD) best known for clinically?
Directory data describes DR. AUSTIN ELLIS (MD) with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. AUSTIN ELLIS (MD) based?
DR. AUSTIN ELLIS (MD) is tied to Orlando, Florida in the data we show; additional addresses may exist on the full record.
Why does DR. AUSTIN ELLIS (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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