CAREY EUGENE ELLIS (MD) – Sports Medicine (Family Medicine) Physician, NPI 1316955099
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for CAREY EUGENE ELLIS (MD)
2180 Pfingsten Rd # 3100
Glenview, IL 600261339
Phone: (847) 866-7846
Type: Location
NORTHSHORE MEDICAL GROUP
2650 RIDGE AVE. SUITE 1223
EVANSTON, IL 602011700
Phone: (847) 982-6710
Type: Mailing
920 MILWAUKEE AVE
LINCOLNSHIRE, IL 600693839
Phone: (847) 866-7846
Type: Location
400, Kennedy Drive, Bradley, Kankakee County, Illinois, 60915, United States
BRADLEY, IL 609152682
Phone: (815) 928-8050
Fax: (815) 928-9858
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2003-11-25
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 |
|---|---|---|---|---|
| I20031125000501 | I | Sports Medicine | IL | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,393 | 139 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 389 | 218 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 316 | 161 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 165 | 14 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 156 | 44 | $0 |
Insurance plans in this area (ZIP 60026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Clinical Social Worker | IL | |
| Certified Nurse Midwife (Cnm) | IL |
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