ELLISIV LIEN (MD) – Physical Medicine & Rehabilitation Physician, NPI 1265670749

ELLISIV LIEN (MD) is a healthcare provider. based in Tyler, Texas. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. N1735 (TX). The NPI Number for ELLISIV LIEN (MD) is 1265670749

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
ELLISIV LIEN (MD)
NPI
1265670749
Phone
(903) 592-6000
Address
PO BOX 6605
Enumeration Date
22 January 2009
Last Update Date
31 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035926000
Graduation Year
2000 (26 years ago)
PAC ID
3577629773
Group Practice PAC ID
8729992052
Professional Enrollment ID
I20090312000315
Address ID
TX757015413TY2737XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

863 PHYSICAL MEDICINE AND REHABILITATION in TX

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Provider Addresses for ELLISIV LIEN (MD)

  • Tyler Post Office, Dallas County 461, Tyler, Dallas County, Alabama, 36785, United States

    TYLER, TX 757116605

    Phone: (903) 592-6000

    Fax: (903) 592-3224

    Type: Mailing

  • 2737, South Broadway Avenue, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757015413

    Phone: (903) 592-6000

    Fax: (903) 592-3224

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-03-12

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
I20090312000315IPhysical Medicine And RehabilitationTXTBD

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
95886Needle measurement of electrical activity in arm or leg muscles, complete study205115$0
99204New patient office or other outpatient visit, 45-59 minutes8383$0
95910Nerve conduction, 7-8 studies4040$0
95911Nerve conduction, 9-10 studies3635$0
99214Established patient office or other outpatient visit, 30-39 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 75711)

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Provider's Procedures

ELLISIV LIEN (MD) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOTX20610Aspiration and/or injection of large joint or joint capsule2621

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: 8729992052View full group profile
NameSpecialtyState
Physician AssistantOR
Anesthesiology, Pain ManagementTX
-TX
Nurse PractitionerTX
N E U R O S U R G E R YTX
Physician AssistantTX
Pain Management, AnesthesiologyTX
Anesthesiology, Internal MedicineMN
Interventional Pain Management, AnesthesiologyTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I verify ELLISIV LIEN (MD) with an NPI only?
You can start verification with NPI 1265670749 for ELLISIV LIEN (MD), then check state licensing separately.
Does CMS list ELLISIV LIEN (MD) as active?
Yes — ELLISIV LIEN (MD) is active in the NPI listing used on this page.
What is ELLISIV LIEN (MD) best known for clinically?
Directory data describes ELLISIV LIEN (MD) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What area does ELLISIV LIEN (MD) serve?
ELLISIV LIEN (MD)'s listing highlights Tyler, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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