JOHN P ELLIS (DPM) – Podiatrist, NPI 1043384795

JOHN P ELLIS (DPM) is a healthcare provider. based in Fairview park, Ohio. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 36002463E (OH). The NPI Number for JOHN P ELLIS (DPM) is 1043384795

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JOHN P ELLIS (DPM)
NPI
1043384795
Phone
(440) 333-7300
Address
21992 LORAIN RD
Enumeration Date
17 November 2006
Last Update Date
23 January 2015

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
4403337300
Graduation Year
1986 (40 years ago)
PAC ID
9931299716
Professional Enrollment ID
I20071217000600
Address ID
OH441263333FA21992RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

953 PODIATRY in OH

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Provider Addresses for JOHN P ELLIS (DPM)

  • 21992, Lorain Road, Fairview Park, Cuyahoga County, Ohio, 44126, United States

    FAIRVIEW PARK, OH 441263333

    Phone: (440) 333-7300

    Fax: (440) 995-1234

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $184.

Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: DJO, LLC ($106).

Total Amount

$184

General + Research + Ownership

Payments

3

Total payment records

General Amount

$184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-12-17

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
I20071217000600IPodiatryOHTBD

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
11721Removal of fingernails or toenails, 6 or more nails1,595453$0
73630X-ray of foot, minimum of 3 views231128$0
17000Destruction of precancer skin growth, 1 growth218106$0
99212Established patient office or other outpatient visit, 10-19 minutes138109$0
17003Destruction of precancer skin growth, 2-14 growths10263$0
View full utilization report →

Insurance plans in this area (ZIP 44126)

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Provider's Procedures

JOHN P ELLIS (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYOH11042Removal of skin and tissue first 20 sq cm or less5012
PODIATRYOH11056Removal of 2 to 4 thickened skin growths2716
PODIATRYOH97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes6034

Reviews

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Frequently asked questions

How is JOHN P ELLIS (DPM) identified in CMS data?
CMS-hosted NPPES data lists JOHN P ELLIS (DPM) with NPI 1043384795.
Is JOHN P ELLIS (DPM) still practicing?
JOHN P ELLIS (DPM) is currently listed as active in the public NPI registry.
What taxonomy line describes JOHN P ELLIS (DPM)?
For research purposes, treat JOHN P ELLIS (DPM) as Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is JOHN P ELLIS (DPM) based?
JOHN P ELLIS (DPM) is tied to Fairview Park, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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