DR. MARK ELLIS (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1972897080
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PODIATRY in UT
Provider Addresses for DR. MARK ELLIS (DPM)
12592 S 150 E
Draper, UT 840208611
Phone: (713) 377-2167
Type: Location
5880 S HOSPITAL DR
GLOBE, AZ 855019447
Phone: (928) 425-3246
Type: Location
5994 S HOSPITAL DR
GLOBE, AZ 855019462
Phone:
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 $143.
Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Orthofix Medical, Inc. ($60).
Total Amount
$143
General + Research + Ownership
Payments
8
Total payment records
General Amount
$143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $60 |
| Paratek Pharmaceuticals, Inc. | $46 |
| Davol Inc. | $20 |
| Smith+Nephew, Inc. | $17 |
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: 2018-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171116000146 | I | Podiatry | TX | TBD |
| I20180615002417 | I | Podiatry | AZ | 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 | 117 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 17 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 19 | 17 | $0 |
Insurance plans in this area (ZIP 84020)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Emergency Medicine | CA | |
| Neurology, Ophthalmology | AZ | |
| Diagnostic Radiology | MN | |
| Osteopathic Manipulative Medicine, Family Practice | AZ | |
| Hematology/Oncology, Medical Oncology, Internal Medicine | WI | |
| - | AZ | |
| - | CO | |
| Emergency Medicine | CA | |
| Family Practice | PR |
Reviews
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