DR. SCOTT J ELLIS (O.D.) – Optometrist, NPI 1417975079
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
684 OPTOMETRY in OK
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Provider Addresses for DR. SCOTT J ELLIS (O.D.)
901, North Main Street, Elk City, Beckham County, Oklahoma, 73644, United States
ELK CITY, OK 736442828
Phone: (580) 243-1121
Fax: (580) 243-1145
Type: Location
PO BOX 9
ELK CITY, OK 736480009
Phone: (580) 243-1121
Type: Mailing
920 N MAIN ST
ELK CITY, OK 736442829
Phone: (580) 243-1121
Fax: (580) 243-1145
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-01-18 • Largest payer in this snapshot: Glaukos Corporation ($44).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Glaukos Corporation | $44 |
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: 2005-01-20
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 |
|---|---|---|---|---|
| I20050120000132 | I | Optometry | OK | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 134 | 79 | $0 |
| 92250 | Photography of the retina | 118 | 110 | $0 |
| 92012 | Established patient problem focused exam of visual system | 62 | 62 | $0 |
| 92083 | Exam of visual field with extended testing | 37 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 31 | $0 |
Insurance plans in this area (ZIP 73644)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OK |
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