DR. JOE E ELLIS (O.D.) – Optometrist, NPI 1174597934

DR. JOE E ELLIS (O.D.) is a healthcare provider. based in Benton, Kentucky. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1073DT (KY). The NPI Number for DR. JOE E ELLIS (O.D.) is 1174597934

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOE E ELLIS (O.D.)
NPI
1174597934
Phone
(270) 527-7421
Address
109 W 5TH ST
Enumeration Date
16 February 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
2705277421
Graduation Year
1986 (40 years ago)
PAC ID
9032256615
Group Practice PAC ID
0749504165
Professional Enrollment ID
I20100518000123
Address ID
KY420251123BE109XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

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Provider Addresses for DR. JOE E ELLIS (O.D.)

  • 109, West 5th Street, Vinton, Benton County, Iowa, 52349, United States

    BENTON, KY 420251123

    Phone: (270) 527-7421

    Fax: (270) 527-3118

    Type: Location

  • PO BOX 256

    BENTON, KY 420250256

    Phone: (270) 527-7421

    Fax: (270) 527-3118

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $615.

Total Amount is formed as General ($615) + Research ($0) + Ownership ($0) = $615.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Alcon Vision LLC ($196).

Total Amount

$615

General + Research + Ownership

Payments

19

Total payment records

General Amount

$615

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

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: 2010-05-18

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
I20100518000123IOptometryKYTBD

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
66984Removal of cataract with insertion of prosthetic lens2,75423$0
99214Established patient office or other outpatient visit, 30-39 minutes679468$0
92250Photography of the retina476432$0
92083Exam of visual field with extended testing193191$0
92133Imaging of optic nerve10299$0
View full utilization report →

Insurance plans in this area (ZIP 42025)

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Provider's Procedures

DR. JOE E ELLIS (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYKY92083Measurement of field of vision during daylight conditions374357
OPTOMETRYKY92134Diagnostic imaging of retina110101

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: 0749504165View full group profile

Reviews

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Frequently asked questions

Does DR. JOE E ELLIS (O.D.) have a public NPI I can cite?
Public records show DR. JOE E ELLIS (O.D.) under NPI 1174597934.
Is DR. JOE E ELLIS (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JOE E ELLIS (O.D.) as active.
What does the directory say DR. JOE E ELLIS (O.D.) does?
Insurance directories may phrase it differently, but here DR. JOE E ELLIS (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JOE E ELLIS (O.D.)?
The directory associates DR. JOE E ELLIS (O.D.) with Benton, Kentucky. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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