LARS M ELLISON (MD) – Urology Physician, NPI 1114902749
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
65 UROLOGY in ME
Provider Addresses for LARS M ELLISON (MD)
125 Northport Ave Ste 106
Belfast, ME 049156002
Phone: (207) 505-4080
Fax: (207) 800-4338
Type: Location
3, Glen Cove Drive, Rockport, Knox County, Maine, 04856, United States
ROCKPORT, ME 048564232
Phone: (207) 593-5400
Fax: (207) 593-5301
Type: Mailing
3 GLEN COVE DR STE 3
ROCKPORT, ME 048564232
Phone: (207) 301-5400
Fax: (207) 301-5301
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 $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($52).
Total Amount
$120
General + Research + Ownership
Payments
6
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endo Pharmaceuticals Inc. | $52 |
| Axonics, Inc. | $50 |
| Endo USA, Inc. | $18 |
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: 2007-07-06
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 |
|---|---|---|---|---|
| I20070706000014 | I | Urology | ME | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 74 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 54 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 54 | 34 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 27 | 22 | $0 |
Insurance plans in this area (ZIP 04915)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | ME | 55700 | Biopsy of prostate gland | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
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