DR. MADGE ELLIS (M.D.) – Surgery Physician, NPI 1619954948

DR. MADGE ELLIS (M.D.) is a healthcare provider. based in Salem, Virginia. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 0101229254 (VA). The NPI Number for DR. MADGE ELLIS (M.D.) is 1619954948

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MADGE ELLIS (M.D.)
NPI
1619954948
Phone
(540) 772-3008
Address
1898 BRAEBURN DR
Enumeration Date
28 December 2005
Last Update Date
12 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9802126250
Graduation Year
1989 (37 years ago)
PAC ID
3971523358
Group Practice PAC ID
2961310685
Professional Enrollment ID
I20211229001671
Address ID
NC280924129LI441XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

935 GENERAL SURGERY in VA

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Provider Addresses for DR. MADGE ELLIS (M.D.)

  • 1898, Braeburn Drive, Braeburn, Salem, Salem (city), Virginia, 24153, United States

    SALEM, VA 241537301

    Phone: (540) 772-3008

    Fax: (540) 772-3352

    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 4 Open Payments records for all available years, with a total value of $92.

Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Ethicon US, LLC ($49).

Total Amount

$92

General + Research + Ownership

Payments

4

Total payment records

General Amount

$92

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

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: 2021-12-29

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
I20211229001671IGeneral SurgeryNCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7162$0
99204New patient office or other outpatient visit, 45-59 minutes6767$0
99212Established patient office or other outpatient visit, 10-19 minutes5029$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4919$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 24153)

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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: 2961310685View full group profile
NameSpecialtyState
Physician AssistantNC
-NC
-NC
Hospitalist, Family PracticeNC
Physician AssistantNC
Infectious Disease, Internal MedicineNC
-NC
-NC
P S Y C H I A T R YNC
-NC

Reviews

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Frequently asked questions

What is DR. MADGE ELLIS (M.D.)'s NPI number?
DR. MADGE ELLIS (M.D.)'s NPI is 1619954948 — the number used across U.S. healthcare to identify this provider.
Is DR. MADGE ELLIS (M.D.) still an active registrant?
DR. MADGE ELLIS (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. MADGE ELLIS (M.D.)?
DR. MADGE ELLIS (M.D.)'s record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. MADGE ELLIS (M.D.) located near Salem?
DR. MADGE ELLIS (M.D.) currently maps to Salem, Virginia in this extract.
Can I trust this NPI listing for DR. MADGE ELLIS (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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