DR. EZRA DANIEL ELLIS (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1164602611
Anatomic Pathology & Clinical Pathology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
391 PATHOLOGY in GA
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Provider Addresses for DR. EZRA DANIEL ELLIS (M.D.)
Northeast Georgia Medical Center, 743, Spring Street Northeast, Gainesville, Hall County, Georgia, 30501, United States
GAINESVILLE, GA 305013715
Phone: (770) 219-1136
Fax: (770) 219-6204
Type: Location
PO BOX 3293
INDIANAPOLIS, IN 462063293
Phone: (317) 614-9863
Fax: (844) 876-0873
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2013-09-11
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 |
|---|---|---|---|---|
| I20130911000317 | I | Pathology | GA | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,013 | 615 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 784 | 200 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 322 | 272 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 194 | 131 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 147 | 45 | $0 |
Insurance plans in this area (ZIP 30501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | GA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 138 | 127 |
| PATHOLOGY | GA | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 259 | 155 |
| PATHOLOGY | GA | 88342 | Tissue or cell analysis by immunologic technique | 438 | 373 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | IN | |
| - | GA | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | IN | |
| - | IN | |
| P A T H O L O G Y | GA |
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