MARK A ELLIS (MD) – Interventional Pain Medicine Physician, NPI 1730150194

MARK A ELLIS (MD) is a healthcare provider. based in Athens, Georgia. specializing in ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. 036525 (GA). The NPI Number for MARK A ELLIS (MD) is 1730150194

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
MARK A ELLIS (MD)
NPI
1730150194
Phone
(706) 208-0451
Address
PO BOX 7577
Enumeration Date
1 February 2006
Last Update Date
21 August 2012

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
8008796274
Graduation Year
1985 (41 years ago)
PAC ID
9537103619
Professional Enrollment ID
I20070110000151
Address ID
GA305771406TO3018XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,330 ANESTHESIOLOGY in GA

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Provider Addresses for MARK A ELLIS (MD)

  • Box, 4, Κωλέττη, Exarcheia, Athens, Municipality of Athens, Regional Unit of Central Athens, Attica, 106 81, Greece

    ATHENS, GA 306047577

    Phone: (706) 208-0451

    Fax: (706) 208-0147

    Type: Mailing

  • Old West Broad Street, Athens, Athens-Clarke County, Georgia, 30606, United States

    BLDG 1 STE 200

    ATHENS, GA 306062867

    Phone: (706) 208-0451

    Fax: (706) 208-0147

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: IBSA Pharma Inc. ($37).

Total Amount

$88

General + Research + Ownership

Payments

4

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

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: 2007-01-10

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
I20070110000151IInterventional Pain ManagementGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5,705662$0
80305Testing for presence of drug, read by direct observation672504$0
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms662487$0
J1100Injection, dexamethasone sodium phosphate, 1 mg227131$0
99442Telephone medical discussion with physician, 11-20 minutes181110$0
View full utilization report →

Insurance plans in this area (ZIP 30604)

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Provider's Procedures

MARK A ELLIS (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENTGA20610Aspiration and/or injection of large joint or joint capsule3019
INTERVENTIONAL PAIN MANAGEMENTGA62311Injections of substances into lower or sacral spine5143
INTERVENTIONAL PAIN MANAGEMENTGA64493Injections of lower or sacral spine facet joint using imaging guidance1714

Reviews

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Frequently asked questions

How do I look up MARK A ELLIS (MD) by NPI?
Use NPI 1730150194 when you need to reference MARK A ELLIS (MD) in forms, claims, or directories.
Is MARK A ELLIS (MD) active in the national directory?
MARK A ELLIS (MD)'s public NPI profile is in an active state.
What field does MARK A ELLIS (MD) work in?
You can think of MARK A ELLIS (MD) as practicing within Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARK A ELLIS (MD)?
The page summarizes Athens, Georgia for MARK A ELLIS (MD); expand the address list for detail.
How can I contact MARK A ELLIS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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