ROBERT TYLER ELLIS (MD) – Orthopaedic Surgery Physician, NPI 1316467277
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
802 ORTHOPEDIC SURGERY in MO
Provider Addresses for ROBERT TYLER ELLIS (MD)
1100 VIRGINIA AVENUE DC 953 00
COLUMBIA, MO 652120001
Phone: (573) 882-2663
Fax: (573) 884-9021
Type: Mailing
1325 E FORTIFICATION ST
JACKSON, MS 392022442
Phone: (601) 354-4488
Fax: (601) 351-5980
Type: Mailing
497 AZALEA DR STE 102
OXFORD, MS 386557906
Phone: (662) 513-2000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $8,276.
Total Amount is formed as General ($8,276) + Research ($0) + Ownership ($0) = $8,276.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Smith+Nephew, Inc. ($6,750).
Total Amount
$8,276
General + Research + Ownership
Payments
21
Total payment records
General Amount
$8,276
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $6,750 |
| Zimmer Biomet Holdings, Inc. | $971 |
| DePuy Synthes Sales Inc. | $486 |
| Gentleman Orthopedic Solutions | $37 |
| Mindray DS USA, Inc. | $16 |
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: 2022-06-23
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 |
|---|---|---|---|---|
| I20220623001677 | I | Orthopedic Surgery | MS | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 268 | 48 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 97 | 97 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 64 | 53 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 59 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 54 | $0 |
Insurance plans in this area (ZIP 65212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Sports Medicine | FL | |
| Physician Assistant | MS | |
| Orthopedic Surgery | MS | |
| Physical Therapist In Private Practice | MS | |
| Nurse Practitioner | MS | |
| N E U R O S U R G E R Y | MS | |
| Orthopedic Surgery | MS | |
| Physician Assistant | MS | |
| Orthopedic Surgery, Sports Medicine | MS | |
| Physical Therapist In Private Practice | MS |
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