ROBERT GREG ELLIS (PA-C) – Surgical Physician Assistant, NPI 1912927971

ROBERT GREG ELLIS (PA-C) is a healthcare provider. based in Skowhegan, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA575 (ME). The NPI Number for ROBERT GREG ELLIS (PA-C) is 1912927971

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT GREG ELLIS (PA-C)
NPI
1912927971
Phone
(207) 474-7045
Address
46 FAIRVIEW AVE STE 223
Enumeration Date
20 July 2006
Last Update Date
30 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2074747045
Graduation Year
1997 (29 years ago)
PAC ID
0446251532
Group Practice PAC ID
9133018740
Professional Enrollment ID
I20070116000021
Address ID
ME049761481SK46XXXAVEX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Provider Addresses for ROBERT GREG ELLIS (PA-C)

  • 46 FAIRVIEW AVE STE 223

    SKOWHEGAN, ME 049761481

    Phone: (207) 474-7045

    Fax: (207) 474-5173

    Type: Location

  • PO BOX 468

    SKOWHEGAN, ME 049760468

    Phone: (207) 858-8367

    Fax: (207) 474-9261

    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: 2007-01-16

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
I20070116000021IPhysician AssistantMETBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2011$0
View full utilization report →

Insurance plans in this area (ZIP 04976)

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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: 9133018740View full group profile
NameSpecialtyState
Family PracticeDC
Physician AssistantME
Nurse PractitionerME
Orthopedic SurgeryMA
-ME
H O S P I T A L I S TME
Family PracticeME
Internal MedicineME
Cardiovascular Disease (Cardiology)ME
Emergency MedicineME

Reviews

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Frequently asked questions

What is the 10-digit NPI for ROBERT GREG ELLIS (PA-C)?
ROBERT GREG ELLIS (PA-C) — NPI 1912927971 — is the standard way to identify this listing.
Is ROBERT GREG ELLIS (PA-C) still practicing?
ROBERT GREG ELLIS (PA-C) is currently listed as active in the public NPI registry.
What is ROBERT GREG ELLIS (PA-C) best known for clinically?
Directory data describes ROBERT GREG ELLIS (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect ROBERT GREG ELLIS (PA-C) on a map?
Expect Skowhegan, Maine as a primary anchor for ROBERT GREG ELLIS (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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