JUSTINA MARIE ELLIS (M.D.) – Family Medicine Physician, NPI 1346602984
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
Provider Addresses for JUSTINA MARIE ELLIS (M.D.)
PO BOX 1080
BURKESVILLE, KY 427171080
Phone: (270) 858-6655
Fax: (270) 858-4607
Type: Mailing
512 Saffell St
Lawrenceburg, KY 40342
Phone: (502) 839-1231
Type: Location
1325 N Race St
Glasgow, KY 421413454
Phone: (270) 651-4865
Type: Location
309 11th St
Carrollton, KY 410081435
Phone: (502) 732-4321
Type: Location
512, Saffell Street, Lawrenceburg, Anderson County, Kentucky, 40342, United States
LAWRENCEBURG, KY 40342
Phone: (502) 839-1231
Type: Location
PO BOX 909
LOUISVILLE, KY 402010909
Phone: (502) 588-0330
Type: Mailing
116 PLANTATION DR
SHELBYVILLE, KY 400658310
Phone: (502) 321-9307
Type: Mailing
309 11TH ST
CARROLLTON, KY 410081435
Phone: (502) 732-4321
Type: Location
515 HOSPITAL DR STE 1
SHELBYVILLE, KY 400651619
Phone: (502) 633-3525
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $460.
Total Amount is formed as General ($460) + Research ($0) + Ownership ($0) = $460.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($120).
Total Amount
$460
General + Research + Ownership
Payments
26
Total payment records
General Amount
$460
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-04-28
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 |
|---|---|---|---|---|
| I20181029002955 | I | Family Practice | KY | TBD |
| I20230428002156 | I | Emergency Medicine | IN | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 124 | 116 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 84 | 81 | $0 |
| 99291 | Critical care, first 30-74 minutes | 14 | 14 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 42717)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | KY | |
| - | KY | |
| - | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| O P H T H A L M O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY |
Reviews
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