DR. CHRISTIAN ELLIS (D.O.) – Surgery Physician, NPI 1205832607

DR. CHRISTIAN ELLIS (D.O.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 3660 (OK). The NPI Number for DR. CHRISTIAN ELLIS (D.O.) is 1205832607

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTIAN ELLIS (D.O.)
NPI
1205832607
Phone
(405) 749-4231
Address
4401 W MEMORIAL RD
Enumeration Date
22 June 2005
Last Update Date
31 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057514343
Graduation Year
1998 (28 years ago)
PAC ID
2264485770
Group Practice PAC ID
1153468921
Professional Enrollment ID
I20060928000488
Address ID
OK731208565OK4401XBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

354 GENERAL SURGERY in OK

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Provider Addresses for DR. CHRISTIAN ELLIS (D.O.)

  • West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States

    OKLAHOMA CITY, OK 731341785

    Phone: (405) 749-4231

    Fax: (405) 749-4234

    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 30 Open Payments records for all available years, with a total value of $857.

Total Amount is formed as General ($857) + Research ($0) + Ownership ($0) = $857.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Acera Surgical, Inc. ($300).

Total Amount

$857

General + Research + Ownership

Payments

30

Total payment records

General Amount

$857

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2006-09-28

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
I20060928000488IGeneral SurgeryOKTBD

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
99204New patient office or other outpatient visit, 45-59 minutes7878$0
99213Established patient office or other outpatient visit, 20-29 minutes7147$0
99214Established patient office or other outpatient visit, 30-39 minutes5348$0
99205New patient office or other outpatient visit, 60-74 minutes4040$0
38900Imaging of lymph nodes during surgery3736$0
View full utilization report →

Insurance plans in this area (ZIP 73134)

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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: 1153468921View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CHRISTIAN ELLIS (D.O.)'s NPI?
Yes. DR. CHRISTIAN ELLIS (D.O.) is listed with NPI 1205832607 in the public NPI dataset.
Is DR. CHRISTIAN ELLIS (D.O.) still practicing?
DR. CHRISTIAN ELLIS (D.O.) is currently listed as active in the public NPI registry.
What is DR. CHRISTIAN ELLIS (D.O.)'s primary classification?
Surgery Physician is the headline specialty for DR. CHRISTIAN ELLIS (D.O.) here. Clinical services aligned with this taxonomy classification.
Does DR. CHRISTIAN ELLIS (D.O.) list a practice location?
Patients near Oklahoma City, Oklahoma may find DR. CHRISTIAN ELLIS (D.O.) in results; validate coverage separately.
Is the information about DR. CHRISTIAN ELLIS (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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