DR. OWEN ELLIS (M.D.) – Anesthesiology Physician, NPI 1205880044
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,169 ANESTHESIOLOGY in CO
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Provider Addresses for DR. OWEN ELLIS (M.D.)
255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States
JACKSON, MI 492012218
Phone: (517) 787-6440
Fax: (517) 787-4146
Type: Mailing
Mountain View Avenue, Longmont, Boulder County, Colorado, 80503, United States
SUITE 100
LONGMONT, CO 805013178
Phone: (303) 682-0375
Type: Location
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: 2006-05-30
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 |
|---|---|---|---|---|
| I20060530000039 | I | Anesthesiology | CO | 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 |
|---|---|---|---|---|
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 14 | 14 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 13 | 13 | $0 |
Insurance plans in this area (ZIP 49201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | CO | 00142 | Anesthesia for lens surgery | 46 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| A N E S T H E S I O L O G Y | MA | |
| A N E S T H E S I O L O G Y | CO | |
| Anesthesiology, Hospitalist | NE | |
| A N E S T H E S I O L O G Y | AZ | |
| A N E S T H E S I O L O G Y | CO | |
| - | CO | |
| A N E S T H E S I O L O G Y | IA | |
| A N E S T H E S I O L O G Y | CO | |
| A N E S T H E S I O L O G Y | CO |
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