DR. BRUCE ELKIN ELLERIN (M.D.) – Radiation Oncology Physician, NPI 1285635052

DR. BRUCE ELKIN ELLERIN (M.D.) is a healthcare provider. based in Athens, Texas. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. L8679 (TX). The NPI Number for DR. BRUCE ELKIN ELLERIN (M.D.) is 1285635052

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRUCE ELKIN ELLERIN (M.D.)
NPI
1285635052
Phone
(903) 677-8300
Address
1801 S Palestine St
Enumeration Date
3 August 2005
Last Update Date
19 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035356301
Graduation Year
1995 (31 years ago)
PAC ID
1153392865
Group Practice PAC ID
4486915600
Professional Enrollment ID
I20070620000446
Address ID
TX757012043TY721XXDRXX300
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

450 RADIATION ONCOLOGY in TX

Provider Addresses for DR. BRUCE ELKIN ELLERIN (M.D.)

  • 1801 S Palestine St

    Athens, TX 75751

    Phone: (903) 677-8300

    Fax: (903) 677-8354

    Type: Location

  • 721, Clinic Drive, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757012043

    Phone: (903) 533-6312

    Fax: (903) 535-6330

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $153.

Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.

Last reported payment date: 2024-06-22 • Largest payer in this snapshot: ABBVIE INC. ($92).

Total Amount

$153

General + Research + Ownership

Payments

8

Total payment records

General Amount

$153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-22

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2007-06-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070620000446IRadiation OncologyTXTBD

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
77014Ct guidance for insertion of radiation therapy fields94548$0
77300Calculation of radiation therapy dose26968$0
77427Radiation treatment management, 5 treatment sessions21750$0
77334Design and construction of complex radiation treatment device15072$0
99204New patient office or other outpatient visit, 45-59 minutes7272$0
View full utilization report →

Insurance plans in this area (ZIP 75751)

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Provider's Procedures

DR. BRUCE ELKIN ELLERIN (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYMO77263Management of radiation therapy, complex4645
RADIATION ONCOLOGYMO77300Calculation of radiation therapy dose33543
RADIATION ONCOLOGYMO77427Radiation treatment management, 5 treatments24053

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: 4486915600View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. BRUCE ELKIN ELLERIN (M.D.)?
Save NPI 1285635052 if you need a stable reference for DR. BRUCE ELKIN ELLERIN (M.D.).
Is DR. BRUCE ELKIN ELLERIN (M.D.)'s NPI currently valid?
The extract we use shows DR. BRUCE ELKIN ELLERIN (M.D.) as active.
What kind of provider is DR. BRUCE ELKIN ELLERIN (M.D.)?
The page reflects Radiation Oncology Physician for DR. BRUCE ELKIN ELLERIN (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BRUCE ELKIN ELLERIN (M.D.)?
The page summarizes Athens, Texas for DR. BRUCE ELKIN ELLERIN (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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