DR. WENDELL K ELLIS (MD) – Cardiovascular Disease Physician, NPI 1093875973

DR. WENDELL K ELLIS (MD) is a healthcare provider. based in Macon, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 062202 (GA). The NPI Number for DR. WENDELL K ELLIS (MD) is 1093875973

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. WENDELL K ELLIS (MD)
NPI
1093875973
Phone
(478) 741-1208
Address
682 HEMLOCK ST
Enumeration Date
11 December 2006
Last Update Date
13 March 2015

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
4786331000
Graduation Year
2002 (24 years ago)
PAC ID
9436247616
Group Practice PAC ID
9638076730
Professional Enrollment ID
I20091104000539
Address ID
GA312012102MA777XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

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Provider Addresses for DR. WENDELL K ELLIS (MD)

  • 682, Hemlock Street, Macon, Bibb County, Georgia, 31201, United States

    STE 490

    MACON, GA 31201

    Phone: (478) 741-1208

    Fax: (478) 741-1557

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,111.

Total Amount is formed as General ($1,111) + Research ($0) + Ownership ($0) = $1,111.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($331).

Total Amount

$1,111

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2009-11-04

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
I20091104000539ICardiovascular Disease (Cardiology)GATBD

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
J2785Injection, regadenoson, 0.1 mg992248$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report549496$0
99213Established patient office or other outpatient visit, 20-29 minutes463413$0
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries400200$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function394382$0
View full utilization report →

Insurance plans in this area (ZIP 31201)

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Provider's Procedures

DR. WENDELL K ELLIS (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin8872
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report8073
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart189180

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: 9638076730View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineNC
Physician AssistantGA
-GA
N E U R O L O G YGA
Gynecological OncologyLA
General SurgeryGA
General SurgeryGA
-GA
Orthopedic SurgeryGA
Nurse PractitionerGA

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Frequently asked questions

What is DR. WENDELL K ELLIS (MD)'s NPI number?
DR. WENDELL K ELLIS (MD)'s NPI is 1093875973 — the number used across U.S. healthcare to identify this provider.
Is DR. WENDELL K ELLIS (MD) still an active registrant?
DR. WENDELL K ELLIS (MD) carries an active NPI according to the public dataset.
What expertise is attributed to DR. WENDELL K ELLIS (MD)?
DR. WENDELL K ELLIS (MD)'s specialty line reads Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is DR. WENDELL K ELLIS (MD) registered?
Use Macon, Georgia as the headline location for DR. WENDELL K ELLIS (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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