JESSICA LAINE ELLIS (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1245270222

Sports Medicine (Family Medicine) Physician

JESSICA LAINE ELLIS (M.D.) is a healthcare provider. based in Eugene, Oregon. specializing in Sports Medicine (Family Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. MD172850 (OR). The NPI Number for JESSICA LAINE ELLIS (M.D.) is 1245270222

Main info

Female

24 Years Of Experience

Accepts Medicare Assignment

Name

JESSICA LAINE ELLIS (M.D.)

NPI

1245270222

Phone

(541) 242-4812

Address

PO BOX 1648

Enumeration Date

7 June 2006

Last Update Date

4 December 2015

Doctor Profile

Medical School Name

UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE

Secondary Phone

5413450600

Graduation Year

2002 (24 years ago)

PAC ID

8527079524

Group Practice PAC ID

4486835477

Professional Enrollment ID

I20151103000703

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JESSICA LAINE ELLIS (M.D.)

Eugene Post Office, 520, Willamette Street, River Edge Public Plaza, Eugene, Lane County, Oregon, 97401, United States
EUGENE, OR 974401648
Phone: (541) 242-4812
Fax: (541) 284-2038
Type: Mailing
1435, G Street, Springfield, Lane County, Oregon, 97477, United States
SPRINGFIELD, OR 974774113
Phone: (541) 242-4812
Fax: (541) 242-4813
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97440)

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Provider's Procedures

JESSICA LAINE ELLIS (M.D.) performs procedures in Sports Medicine (Family Medicine) Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
SPORTS MEDICINE	OR	20610	Aspiration and/or injection of large joint or joint capsule	87	66

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: 4486835477View full group profile

Name	Specialty	State
STEPHAN M SCHEPERGERDES (MD)	-	OR
DONNA M BYRNE (MD)	-	OR
JESSICA E BRANDT (ARNP)	Nurse Practitioner	WA
DR. JEAN ANN EDSALL (MD)	-	OR
DIANE MARIE KIMBALL (NP)	Nurse Practitioner	OR
SCOTT H JOHNSON (MD)	-	OR
JENNIFER RANDALL	-	OR
MRS. ABIGAIL DOWD (PT)	-	OR
DR. MARTHA M REILLY (MD)	-	OR
RYAN EMBLEY (DPT, ATC)	-	OR

Reviews

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Frequently asked questions

Is there an official ID for JESSICA LAINE ELLIS (M.D.) in U.S. healthcare records?

The official identifier for JESSICA LAINE ELLIS (M.D.) is NPI 1245270222.

Would JESSICA LAINE ELLIS (M.D.) appear as active to a payer?

You can treat JESSICA LAINE ELLIS (M.D.) as active for directory purposes; confirm clinical privileges separately.

What kind of doctor is JESSICA LAINE ELLIS (M.D.)?

JESSICA LAINE ELLIS (M.D.) is associated with Sports Medicine (Family Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.

Where in Oregon is JESSICA LAINE ELLIS (M.D.) registered?

Use Eugene, Oregon as the headline location for JESSICA LAINE ELLIS (M.D.) here.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.