DR. JON MICHAEL ELLIS (M.D.) – Orthopaedic Surgery Physician, NPI 1982600193
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
496 SPORTS MEDICINE in TX
Provider Addresses for DR. JON MICHAEL ELLIS (M.D.)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752848491
Phone: (254) 202-9330
Fax: (254) 202-9349
Type: Mailing
140 HILLCREST MEDICAL BLVD STE 2
WACO, TX 767128897
Phone: (254) 741-1400
Fax: (254) 741-1428
Type: Location
50 Hillcrest Medical Blvd
Suite 303
Waco, TX 76712
Phone: (254) 741-1400
Fax: (254) 741-1428
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $218.
Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Arthrex, Inc. ($113).
Total Amount
$218
General + Research + Ownership
Payments
5
Total payment records
General Amount
$218
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $113 |
| Smith+Nephew, Inc. | $42 |
| Bioventus LLC | $36 |
| Pylant Medical | $27 |
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: 2010-01-27
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 |
|---|---|---|---|---|
| I20100127000650 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 116 | 22 | $0 |
| 73564 | X-ray of knee, 4 or more views | 67 | 57 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 55 | 29 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 54 | 46 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 42 | 34 | $0 |
Insurance plans in this area (ZIP 75284)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 160 | 73 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Hospitalist, Internal Medicine | AL | |
| - | TX | |
| Family Practice | TX | |
| U R O L O G Y | TX | |
| Internal Medicine | TX | |
| Internal Medicine | TX | |
| Orthopedic Surgery | TX |
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