DR. GEORGE JR. ELLIS (M.D.) – Internal Medicine Physician, NPI 1366428484
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
7,199 INTERNAL MEDICINE in OH
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Provider Addresses for DR. GEORGE JR. ELLIS (M.D.)
910 RapidCare, 910, Boardman Canfield Road, Parkside Professional Center, Boardman, Boardman Township, Mahoning County, Ohio, 44512, United States
BOARDMAN, OH 44512
Phone: (330) 965-0832
Fax: (330) 965-0155
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 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: PFIZER INC. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $15 |
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: 2004-12-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041217000265 | I | Internal Medicine | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 731 | 367 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 516 | 268 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 139 | 79 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 70 | 67 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 46 | 46 | $0 |
Insurance plans in this area (ZIP 44512)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | OH | 85610 | Blood test, clotting time | 157 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Family Practice | PA | |
| Hospitalist, Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| N E U R O L O G Y | OH | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| G A S T R O E N T E R O L O G Y | OH |
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