JABON L ELLIS (D.O.) – Hospitalist Physician, NPI 1023371333

JABON L ELLIS (D.O.) is a healthcare provider. based in El paso, Texas. specializing in HOSPITALIST. They hold the professional credentials D.O.. They hold a License No. 2020016505 (MO). The NPI Number for JABON L ELLIS (D.O.) is 1023371333

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JABON L ELLIS (D.O.)
NPI
1023371333
Phone
(915) 742-2521
Address
5005 NORTH PIEDRAS STREET
Enumeration Date
21 June 2012
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3149966500
Graduation Year
2012 (14 years ago)
PAC ID
6002235850
Group Practice PAC ID
4082958574
Professional Enrollment ID
I20200929001924
Address ID
MO631312329SA3015XRDXX400

Contacts

Secure Messaging
jellis380743@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

2,297 HOSPITALIST in TX

Provider Addresses for JABON L ELLIS (D.O.)

  • 5005 NORTH PIEDRAS STREET

    WILLIAM BEAUMONT ARMY MEDICAL CENTER

    EL PASO, TX 799205001

    Phone: (915) 742-2521

    Fax: (915) 742-2653

    Type: Mailing

  • 1000 E Hwy 60

    Monett, MO 657088258

    Phone: (417) 354-1400

    Type: Location

  • 1008 S SPRING AVE

    SAINT LOUIS, MO 631102520

    Phone: (314) 257-8222

    Fax: (314) 577-8019

    Type: Mailing

  • 1201 S GRAND BLVD

    SAINT LOUIS, MO 631041016

    Phone: (314) 257-8222

    Fax: (915) 742-2653

    Type: Location

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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-03-25 • Largest payer in this snapshot: ABBVIE INC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$23
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: 2020-09-29

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
I20200929001924IHospitalistMOTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes35783$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes25597$0
99238Hospital discharge day management, 30 minutes or less4240$0
99239Hospital discharge day management, more than 30 minutes3029$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 79920)

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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: 4082958574View full group profile
NameSpecialtyState
Physician AssistantMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Internal Medicine, HospitalistIL
Internal Medicine, Hospitalist, Hospitalist, Internal MedicineMO
Internal MedicineMO
Family PracticeMO
Internal MedicineMO
Family PracticeMO

Reviews

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Frequently asked questions

How do I look up JABON L ELLIS (D.O.) by NPI?
Use NPI 1023371333 when you need to reference JABON L ELLIS (D.O.) in forms, claims, or directories.
Is JABON L ELLIS (D.O.) active in the national directory?
JABON L ELLIS (D.O.)'s public NPI profile is in an active state.
Can you summarize JABON L ELLIS (D.O.)'s specialty in plain language?
Clinically, the directory lists JABON L ELLIS (D.O.) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JABON L ELLIS (D.O.)?
The snapshot lists El Paso, Texas for JABON L ELLIS (D.O.); download NPPES for the complete set.
How can I contact JABON L ELLIS (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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