PAUL W ELLIS (P.A.) – Physician Assistant, NPI 1174594873
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for PAUL W ELLIS (P.A.)
120 Spalding Dr
Ste 400
Naperville, IL 605406508
Phone: (630) 967-2225
Type: Location
2001 Randolph Rd
Charlotte, NC 282071215
Phone: (704) 323-2225
Type: Location
4601 Park Road, 4601, Park Road, Park Road Shopping Center, Parkdale, Charlotte, Mecklenburg County, North Carolina, 28209, United States
CHARLOTTE, NC 282092290
Phone: (704) 323-2000
Type: Mailing
2001, Randolph Road, Crescent Heights, Midtown, Charlotte, Mecklenburg County, North Carolina, 28207, United States
CHARLOTTE, NC 282071215
Phone: (704) 323-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $873.
Total Amount is formed as General ($873) + Research ($0) + Ownership ($0) = $873.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: NuVasive, Inc. ($438).
Total Amount
$873
General + Research + Ownership
Payments
8
Total payment records
General Amount
$873
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| NuVasive, Inc. | $438 |
| Highridge Medical LLC | $142 |
| Bioventus LLC | $112 |
| Orthofix Medical, Inc. | $107 |
| ConvaTec Inc. | $59 |
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: 2025-01-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20171201002239 | I | Physician Assistant | NC | TBD |
| I20250129001676 | I | Physician Assistant | SC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 422 | 251 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 152 | 140 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 58 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 53 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $0 |
Insurance plans in this area (ZIP 60540)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NC | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 20 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NC | |
| U R O L O G Y | NC | |
| Hospitalist, Internal Medicine | NC | |
| Nurse Practitioner | WV | |
| Orthopedic Surgery | NC | |
| N E U R O S U R G E R Y | NC | |
| Internal Medicine | NC | |
| Nurse Practitioner | NY | |
| Physician Assistant | NC | |
| Physician Assistant | NC |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.