FORREST J ELLIS (MD) – Ophthalmology Physician, NPI 1609971126

FORREST J ELLIS (MD) is a healthcare provider. based in Falls church, Virginia. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 0101241653 (VA). The NPI Number for FORREST J ELLIS (MD) is 1609971126

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
FORREST J ELLIS (MD)
NPI
1609971126
Phone
(703) 534-3900
Address
6231 LEESBURG PIKE STE 608
Enumeration Date
13 September 2006
Last Update Date
20 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7036202701
Graduation Year
1990 (36 years ago)
PAC ID
4082709480
Group Practice PAC ID
4688673338
Professional Enrollment ID
I20071001000167
Address ID
VA220332924FA3975XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

565 OPHTHALMOLOGY in VA

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Provider Addresses for FORREST J ELLIS (MD)

  • Leesburg Pike, West Falls Church, Virginia, 22044, United States

    FALLS CHURCH, VA 220442102

    Phone: (703) 534-3900

    Fax: (703) 536-3729

    Type: Mailing

  • Leesburg Pike, West Falls Church, Fairfax County, Virginia, 22044, United States

    SUITE 608

    FALLS CHURCH, VA 220442102

    Phone: (703) 534-3900

    Fax: (703) 536-3729

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $656.

Total Amount is formed as General ($656) + Research ($0) + Ownership ($0) = $656.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Alcon Vision LLC ($363).

Total Amount

$656

General + Research + Ownership

Payments

7

Total payment records

General Amount

$656

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-10-01

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
I20071001000167IOphthalmologyDCTBD

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
92012Established patient problem focused exam of visual system182126$0
92060Exam to measure eye deviation and range of motion6255$0
99214Established patient office or other outpatient visit, 30-39 minutes2121$0
92002New patient problem focused exam of visual system1111$0
92083Exam of visual field with extended testing1111$0
View full utilization report →

Insurance plans in this area (ZIP 22044)

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Provider's Procedures

FORREST J ELLIS (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYVA92012Eye and medical examination for diagnosis and treatment, established patient197143
OPHTHALMOLOGYVA92083Measurement of field of vision during daylight conditions1818

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: 4688673338View full group profile
NameSpecialtyState
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
-VA
O P H T H A L M O L O G YWV
O P T O M E T R YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YNY

Reviews

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Frequently asked questions

Does FORREST J ELLIS (MD) have a public NPI I can cite?
Public records show FORREST J ELLIS (MD) under NPI 1609971126.
Does the public listing show FORREST J ELLIS (MD) as active?
FORREST J ELLIS (MD)'s NPI record reflects an active status in NPPES.
What services align with FORREST J ELLIS (MD)'s listing?
FORREST J ELLIS (MD)'s public classification highlights Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to FORREST J ELLIS (MD)?
FORREST J ELLIS (MD) is associated with Falls Church, Virginia in the same public data insurers reference.
Who maintains FORREST J ELLIS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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