THOMAS S ELLIS (M.D.) – Neurological Surgery Physician, NPI 1629004445
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
588 NEUROSURGERY in TX
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Provider Addresses for THOMAS S ELLIS (M.D.)
Mistletoe Boulevard, Fort Worth, Tarrant County, Texas, 76110, United States
FORT WORTH, TX 761044049
Phone: (817) 878-5333
Fax: (817) 878-5334
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $573.
Total Amount is formed as General ($573) + Research ($0) + Ownership ($0) = $573.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Providence Medical Technology, Inc. ($328).
Total Amount
$573
General + Research + Ownership
Payments
16
Total payment records
General Amount
$573
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
1
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Providence Medical Technology, Inc. | $328 |
| Nico Corporation | $92 |
| Baxter Healthcare | $75 |
| Globus Medical, Inc. | $58 |
| Medexus Pharma, Inc. | $19 |
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: 2010-09-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100910000644 | I | Neurosurgery | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 168 | 123 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 144 | 117 | $0 |
| 72050 | X-ray of upper spine, 4-5 views | 107 | 95 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 79 | 75 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 73 | 73 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | TX | |
| Physician Assistant | OK | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| N E U R O S U R G E R Y | TX | |
| N E U R O S U R G E R Y | TX | |
| - | TX | |
| Physician Assistant | VA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
Reviews
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