DR. BRIAN E ELLIS (M.D.) – Family Medicine Physician, NPI 1124038047

DR. BRIAN E ELLIS (M.D.) is a healthcare provider. based in Danville, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 29363 (KY). The NPI Number for DR. BRIAN E ELLIS (M.D.) is 1124038047

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN E ELLIS (M.D.)
NPI
1124038047
Phone
(859) 236-3361
Address
109 DANIEL DR
Enumeration Date
9 August 2006
Last Update Date
30 August 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
8592392318
Graduation Year
1990 (36 years ago)
PAC ID
9739172966
Group Practice PAC ID
3375506447
Professional Enrollment ID
I20040405001143
Address ID
KY404221823DA217XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,717 FAMILY PRACTICE in KY

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Provider Addresses for DR. BRIAN E ELLIS (M.D.)

  • Daniel Drive, Danville, Boyle County, Kentucky, 40422, United States

    DANVILLE, KY 404222527

    Phone: (859) 236-3361

    Fax: (859) 239-9484

    Type: Location

  • PO BOX 990

    DANVILLE, KY 404230990

    Phone: (859) 236-3361

    Fax: (859) 239-9484

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $225.

Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Medtronic, Inc. ($140).

Total Amount

$225

General + Research + Ownership

Payments

6

Total payment records

General Amount

$225

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

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: 2004-04-05

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
I20040405001143IFamily PracticeKYTBD

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
81003Automated urinalysis test278221$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only120104$0
83036Hemoglobin a1c level7062$0
82044Urine microalbumin (protein) analysis5850$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing3633$0
View full utilization report →

Insurance plans in this area (ZIP 40422)

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Provider's Procedures

DR. BRIAN E ELLIS (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKY83036Hemoglobin A1C level244151
FAMILY MEDICINEKY85610Blood test, clotting time19927
FAMILY MEDICINEKY93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report433352

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375506447View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyKY
Nephrology, Internal MedicineKY
Family PracticeKY
Diagnostic RadiologyKY
Family PracticeKY
Cardiovascular Disease (Cardiology)KY
Nurse PractitionerKY
Internal MedicineOH
H E M A T O L O G Y/ O N C O L O G YKY
Hematology/Oncology, Medical Oncology, HematologyKY

Reviews

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Frequently asked questions

What NPI should I save for DR. BRIAN E ELLIS (M.D.)?
Save NPI 1124038047 if you need a stable reference for DR. BRIAN E ELLIS (M.D.).
Is DR. BRIAN E ELLIS (M.D.) currently active in the NPI registry?
CMS-published data lists DR. BRIAN E ELLIS (M.D.) as an active registrant.
What field does DR. BRIAN E ELLIS (M.D.) work in?
You can think of DR. BRIAN E ELLIS (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. BRIAN E ELLIS (M.D.)'s primary listing?
We display Danville, Kentucky because that is what the record indicates for DR. BRIAN E ELLIS (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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