TAYT ELLISON (M.D.) – Orthopaedic Surgery Physician, NPI 1194185231

TAYT ELLISON (M.D.) is a healthcare provider. based in Jbsa ft sam houston, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. ME158222 (FL). The NPI Number for TAYT ELLISON (M.D.) is 1194185231

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TAYT ELLISON (M.D.)
NPI
1194185231
Phone
(210) 916-1242
Address
3551 ROGER BROOKE DR
Enumeration Date
2 March 2016
Last Update Date
31 July 2025

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8504164188
Graduation Year
2016 (10 years ago)
PAC ID
9739454067
Group Practice PAC ID
3779491386
Professional Enrollment ID
I20220901002982
Address ID
FL325048721PE5151XAVEX407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:10State licenses:2Digital endpointsOther names

2,189 ORTHOPEDIC SURGERY in TX

Provider Addresses for TAYT ELLISON (M.D.)

  • 3551 ROGER BROOKE DR

    JBSA FT SAM HOUSTON, TX 782344504

    Phone: (210) 916-1242

    Type: Mailing

  • 615 N Bonita Ave

    Panama City, FL 324013623

    Phone: (850) 769-1511

    Type: Location

  • 701 PARK AVE

    MINNEAPOLIS, MN 554151623

    Phone: (612) 873-3000

    Fax: (904) 539-4091

    Type: Mailing

  • 307 BOATNER RD STE 114

    EGLIN AFB, FL 325421302

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $1,410.

Total Amount is formed as General ($1,410) + Research ($0) + Ownership ($0) = $1,410.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Arthrex, Inc. ($615).

Total Amount

$1,410

General + Research + Ownership

Payments

24

Total payment records

General Amount

$1,410

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

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: 2025-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220901002982IOrthopedic SurgeryFLTBD
I20250630002198IOrthopedic SurgeryMNTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

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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: 3779491386View full group profile

Reviews

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Frequently asked questions

What identifier follows TAYT ELLISON (M.D.) across health systems?
The NPI 1194185231 uniquely identifies TAYT ELLISON (M.D.) in U.S. healthcare data.
Is TAYT ELLISON (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists TAYT ELLISON (M.D.) as active.
What type of care does TAYT ELLISON (M.D.) provide?
TAYT ELLISON (M.D.)'s profile centers on Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is TAYT ELLISON (M.D.) tied to Jbsa Ft Sam Houston, Texas?
If you are local to Jbsa Ft Sam Houston, Texas, TAYT ELLISON (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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