GAIL L ELLIS (MD) – Family Medicine Physician, NPI 1376580563

GAIL L ELLIS (MD) is a healthcare provider. based in Beverly, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 155239 (MA). The NPI Number for GAIL L ELLIS (MD) is 1376580563

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
GAIL L ELLIS (MD)
NPI
1376580563
Phone
(978) 927-7727
Address
30 TOZER ROAD
Enumeration Date
31 May 2006
Last Update Date
1 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164445433
Graduation Year
1995 (31 years ago)
PAC ID
0446205736
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20240913002723
Address ID
OH441950001CL9500XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

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Provider Addresses for GAIL L ELLIS (MD)

  • 30, Tozer Road, North Beverly, Beverly, Essex County, Massachusetts, 01915, United States

    BEVERLY, MA 01915

    Phone: (978) 927-7727

    Fax: (978) 927-4598

    Mailing address matches the actual address.

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: 2024-09-13

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
I20240913002723IFamily PracticeOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes224105$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7474$0
99215Established patient office or other outpatient visit, 40-54 minutes6948$0
99213Established patient office or other outpatient visit, 20-29 minutes4639$0
G0444Annual depression screening, 5 to 15 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 01915)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Does GAIL L ELLIS (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GAIL L ELLIS (MD) uses 1376580563.
Is GAIL L ELLIS (MD) listed as active for patients and plans?
The listing shows GAIL L ELLIS (MD) as active in the NPI system.
What healthcare role does GAIL L ELLIS (MD) hold?
Scheduling teams often label GAIL L ELLIS (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does GAIL L ELLIS (MD) serve?
GAIL L ELLIS (MD)'s listing highlights Beverly, Massachusetts; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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