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Deactivated NPI 1003808551 Deactivated / Inactive NPI Male Practitioner

Dr. Paul Stribling Ellison , MD

Orthopaedic Surgery • Key Largo, FL

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Ellison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2005
NPI Deactivation Date March 25, 2006
Total Practice Duration ~19 Years of Practice (1987 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Ellison, MD was a registered Orthopaedic Surgery in Key Largo, FL. Prior to record deactivation on 2006-03-25, Dr. Ellison completed approximately 19 years of clinical practice following graduation from Brody School Of Medicine At East Carolina University in 1987.

Dr. Ellison accepted Medicare assignment.

Historical Medicare Part B clinical services included aspiration and/or injection of fluid from large joint, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

100210 Overseas Hwy
Ste 3

Key Largo, FL 330372526

Telephone 3054533633
Fax 3054533637
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Brody School Of Medicine At East Carolina University

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Key Largo, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
39 Yrs Matches City Avg
City Avg: 39.0 Yrs
State Avg: 27.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Key Largo, FL (1597 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellison (39 Years) 39 Yrs
Key Largo Specialty Average (39.0 Years) 39.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint
798 193 $360.00 $63.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
760 185 $25.00 $6.99
99213 Established patient office or other outpatient visit, typically 15 minutes
428 239 $240.00 $95.24
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose
418 61 $640.00 $125.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
202 146 $345.00 $134.31
73562 X-ray of knee, 3 views
158 122 $220.00 $42.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
141 141 $555.00 $177.98
73030 X-ray of shoulder, minimum of 2 views
102 84 $245.00 $35.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
83 66 $185.00 $59.29
72100 X-ray of lower and sacral spine, 2-3 views
65 62 $240.00 $41.07
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
64 46 $15.00 $0.98
73502 X-ray of hip, 2-3 views
56 50 $260.00 $48.82
73110 X-ray of wrist, minimum of 3 views
34 28 $205.00 $42.47
20600 Aspiration and/or injection of fluid from small joint
31 16 $290.00 $44.98
73630 X-ray of foot, minimum of 3 views
29 19 $200.00 $35.22
73610 X-ray of ankle, minimum of 3 views
21 15 $205.00 $37.61
72050 X-ray of upper spine, 4 or 5 views
13 13 $325.00 $54.61
73080 X-ray of elbow, minimum of 3 views
13 12 $220.00 $34.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $385.00 $118.63
73560 X-ray of knee, 1-2 views
11 11 $195.00 $35.28

Medical Specialties & State Licenses

CMS Verified: 2022-03-01
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME0064771

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
379646900 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Tara Pool , DPT

Physical Therapist

NPI 1164892030

Doctor of Physical Therapy

Dr. Sara Walker , DPT

Physical Therapist

NPI 1235478108

Doctor of Physical Therapy

Jane Hlis , PT

Physical Therapist

NPI 1316943046

Physical Therapist

Dr. Joe Resetich , DPT

Physical Therapist

NPI 1487914206

Doctor of Physical Therapy

Omar Sanchez , PTA

Physical Therapy Assistant

NPI 1649839226

Physical Therapist Assistant

Christine Langley , PT

Physical Therapist

NPI 1841441383

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location May 29, 2008

Registered at 100210 OVERSEAS HWY, STE 3, KEY LARGO, FL 330372526 (Tel: 3054533633)

📍
Updated Business Mailing Address May 29, 2008

Registered at 100210 OVERSEAS HWY, STE 3, KEY LARGO, FL 330372526 (Tel: 3054533633)

👤
Provider Name / Credentials Updated May 29, 2008

Recorded as PAUL ELLISON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2008

Orthopaedic Surgery (License #ME0064771 in FL)

🔄
NPI Profile Reactivated March 31, 2006

Record officially reactivated for active practice on March 31, 2006

⚠️
NPI Profile Deactivated March 25, 2006

Record deactivated on March 25, 2006

🟢
Initial NPI Registration & Enumeration August 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003808551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2005
Last Update: March 01, 2022
Deactivation Date: March 25, 2006
Sole Proprietor: Yes

Mailing Address

100210 Overseas Hwy, Ste 3

Key Largo, FL 330372526

Phone: 3054533633

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.