NPI Details
Clarence O'neil Ellis, MD is an internal medicine in Charlotte, NC with 46 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Clarence O'neil Ellis, MD NPI is 1376505305. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1980
The provider's business location address is:
1100 BLYTHE BLVD
CHARLOTTE, NC
ZIP 28203-814
Phone: (704) 355-9047
The NPI 1376505305 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
- Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
- Complete ultrasound study of arm and leg arteries (HCPCS:93923)
- Testing of autonomic nervous system function and heart rate response to deep breathing (HCPCS:95921)
- Testing of autonomic (sympathetic) nervous system function (HCPCS:95923)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
- Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99489)
- Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
The enumeration date for this NPI number is 4/5/2006 and was last updated on 2/17/2012.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 27910 | NORTH CAROLINA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | NC3025A | MEDICARE PIN | NORTH CAROLINA | |
| 2 | 206134F | OTHER | | MEDICARE LEGACY NUMBER |
| 3 | NC3025B | MEDICARE PIN | NORTH CAROLINA | |
| 4 | 0278J | OTHER | NORTH CAROLINA | BCBS |
| 5 | N27910 | MEDICAID | SOUTH CAROLINA | |
| 6 | 8930620 | MEDICAID | NORTH CAROLINA | |
| 7 | C83655 | MEDICARE UPIN | NORTH CAROLINA | |
