ELLIS A GREEN (MD) – Hospitalist Physician, NPI 1053931170
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,390 HOSPITALIST in IL
Provider Addresses for ELLIS A GREEN (MD)
180 HARVESTER DR STE 110
BURR RIDGE, IL 605276686
Phone: (773) 702-1150
Type: Mailing
5841 S MARYLAND AVE STE MC7082
CHICAGO, IL 606371465
Phone: (773) 702-6840
Fax: (773) 702-2230
Type: Location
10500 MONTGOMERY RD
MONTGOMERY, OH 452424402
Phone: (513) 865-2246
Fax: (513) 865-5552
Type: Mailing
375 Dixmyth Ave
Cincinnati, OH 452202475
Phone: (513) 862-1400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-05-10 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($25).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $25 |
| Novo Nordisk Inc | $16 |
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: 2023-07-19
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 |
|---|---|---|---|---|
| I20230719001684 | I | Hospitalist | OH | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 130 | 48 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 28 | 28 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 60527)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Radiation Oncology | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| P O D I A T R Y | OH | |
| Physician Assistant | OH | |
| H O S P I T A L I S T | MD | |
| Nurse Practitioner | CO | |
| Physical Therapist In Private Practice | OH | |
| Physical Therapist In Private Practice | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH |
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