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Active NPI 1720022452 Individual Practitioner Male Practitioner

Dr. Russell John Ellicott , DPM

Podiatrist • Martinez, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Russell Ellicott, DPM is a certified Podiatrist practicing in Martinez, GA. With approximately 44 years of clinical experience since graduating from Kent State University College Of Podiatric Medicine in 1982, Dr. Ellicott delivers high-quality medical care to the local community at 501 FURYS FERRY RD.

Dr. Ellicott accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of foot, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

501 Furys Ferry Rd

Martinez, GA 309079059

Telephone 7067383298
Fax 7063644290

Medicare Profile & Education

Medical School

Kent State University College Of Podiatric Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Martinez, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs +8.5 yrs vs City Avg
City Avg: 35.5 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Martinez, GA (249 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
28.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellicott (44 Years) 44 Yrs
Martinez Specialty Average (35.5 Years) 35.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes
65 39 $130.08 $84.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
41 41 $139.51 $104.18
73620 X-ray of foot, 2 views
37 29 $55.00 $25.60
99202 New patient office or other outpatient visit, typically 20 minutes
32 32 $123.13 $66.73
28043 Removal (less than 1.5 centimeters) tissue growth beneath the skin of foot or toe
17 15 $425.00 $344.39

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License GA POD000558

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Podiatrist

NUCC Taxonomy Code: 213E00000X

State License SC 96

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00336124A (GA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 501 FURYS FERRY RD, MARTINEZ, GA 309079059 (Tel: 7067383298)

📍
Updated Business Mailing Address July 09, 2007

Registered at 501 FURY'S FERRY ROAD, MARTINEZ, GA 30907 (Tel: 7067383298)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as RUSSELL ELLICOTT, D.P.M.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Podiatrist (License #POD000558 in GA)

🟢
Initial NPI Registration & Enumeration June 15, 2006

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: 1720022452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: February 06, 2019
Sole Proprietor: Yes

Mailing Address

501 Fury's Ferry Road

Martinez, GA 30907

Phone: 7067383298

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.