Active NPI 1922313238 Individual Practitioner Female Practitioner

Stephanie M Ellis , PA

Physician Assistant • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephanie Ellis, PA is a certified Physician Assistant practicing in Peoria, IL. With approximately 16 years of clinical experience since graduating from Midwestern University, Chicago College Of Osteopathic Med in 2010, Stephanie Ellis delivers high-quality medical care to the local community at 4909 N GLEN PARK PLACE RD.

Stephanie Ellis is affiliated with Jason B. Amato, Md Dermatology, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4909 N Glen Park Place Rd

Peoria, IL 616144676

Telephone 3096747546

Fax 3092820500

Associated Practice Facility / Clinic

🏢 Soderstrom Dermatology Center S C Facility NPI 1053362343

Medicare Profile & Education

Medical School

Midwestern University, Chicago College Of Osteopathic Med

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Peoria, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +3.9 yrs vs City Avg

City Avg: 12.1 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

96 Specialists

Practicing in Peoria, IL (4958 Statewide)

Telehealth Adoption Rate

10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellis (16 Years) 16 Yrs

Peoria Specialty Average (12.1 Years) 12.1 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
17003 Destruction of precancer skin growth, 2-14 growths	919	174	$12.25	$5.21
99213 Established patient office or other outpatient visit, typically 15 minutes	526	399	$179.17	$75.23
17000 Destruction of skin growth	310	254	$130.91	$43.93
17110 Destruction of up to 14 skin growths	237	202	$225.21	$90.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	200	200	$221.24	$92.99
11102 Tangential biopsy of single skin lesion	157	145	$191.60	$73.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	94	$110.77	$46.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	33	$252.93	$102.64
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$141.48	$59.62
11103 Biopsy of related skin growth, each additional growth	53	31	$96.24	$40.40
11200 Removal of skin tag, 1-15 skin tags	45	42	$179.72	$58.24
17004 Destruction of precancer skin growth, 15 or more growths	27	23	$323.57	$135.74
17111 Destruction of skin growth, 15 or more growths	20	13	$249.00	$107.13
11104 Punch biopsy, first skin growth	19	19	$239.48	$96.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$334.06	$140.35
69100 Biopsy of ear	13	13	$184.09	$59.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	766	163	$12.19	$5.44
99213 Established patient office or other outpatient visit, typically 15 minutes	408	348	$155.69	$75.83
17000 Destruction of skin growth	274	239	$123.88	$45.74
17110 Destruction of up to 14 skin growths	197	175	$209.21	$93.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	162	162	$219.67	$96.44
11102 Tangential biopsy of single skin lesion	147	143	$195.75	$77.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	118	$105.90	$47.75
99202 New patient office or other outpatient visit, typically 20 minutes	62	62	$144.22	$61.43
11103 Biopsy of related skin growth, each additional growth	43	27	$99.12	$42.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	34	$184.08	$107.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	27	13	$11.11	$1.06
11200 Removal of skin tag, 1-15 skin tags	23	21	$165.85	$61.94
17111 Destruction of skin growth, 15 or more growths	17	14	$222.54	$110.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	12	$25.94	$11.63
17004 Destruction of precancer skin growth, 15 or more growths	14	14	$322.98	$142.47
69100 Biopsy of ear	14	14	$192.00	$64.26
11104 Punch biopsy, first skin growth	11	11	$225.63	$104.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,539	1,129	$90.27	$74.50
17003 Destruction of precancer skin growth, 2-14 growths	1,470	287	$12.03	$5.41
95044 Test for allergy using skin patch	1,075	15	$6.64	$4.09
17000 Destruction of skin growth	502	400	$72.34	$49.44
17110 Destruction of up to 14 skin growths	350	286	$113.40	$90.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	224	$129.13	$105.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	128	67	$21.60	$1.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	111	61	$23.77	$11.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	76	$56.76	$46.44
11200 Removal of skin tag, 1-15 skin tags	57	49	$91.21	$60.15
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	42	35	$150.89	$88.13
17111 Destruction of skin growth, 15 or more growths	41	30	$138.82	$106.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$111.95	$92.24
17004 Destruction of precancer skin growth, 15 or more growths	26	24	$163.02	$137.62
11102 Tangential biopsy of single skin lesion	25	25	$155.99	$78.36
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	17	17	$149.98	$112.92
36415 Insertion of needle into vein for collection of blood sample	16	14	$5.00	$2.98
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	15	$130.89	$101.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95044 Test for allergy using skin patch	1,680	21	$5.25	$4.42
17003 Destruction of precancer skin growth, 2-14 growths	1,338	271	$11.45	$5.24
99213 Established patient office or other outpatient visit, typically 15 minutes	1,179	899	$84.92	$75.39
17000 Destruction of skin growth	442	358	$72.46	$48.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	358	266	$124.22	$106.63
17110 Destruction of up to 14 skin growths	289	210	$111.78	$90.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	73	$51.19	$45.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	119	75	$21.19	$1.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	97	65	$23.76	$11.31
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	46	28	$98.91	$85.98
11200 Removal of skin tag, 1-15 skin tags	39	37	$89.30	$61.77
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	29	26	$135.54	$93.51
17111 Destruction of skin growth, 15 or more growths	29	18	$130.62	$109.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$113.24	$91.07
11104 Punch biopsy, first skin growth	27	26	$131.89	$103.19
17004 Destruction of precancer skin growth, 15 or more growths	25	23	$174.82	$131.74
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	20	18	$139.04	$109.90
36415 Insertion of needle into vein for collection of blood sample	18	16	$5.86	$3.00
11102 Tangential biopsy of single skin lesion	17	17	$130.11	$74.88
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	13	12	$120.57	$93.75
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$126.35	$98.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,032	683	$74.79	$62.44
17003 Destruction of precancer skin growth, 2-14 growths	917	195	$9.44	$4.90
17000 Destruction of skin growth	334	280	$72.13	$50.39
17110 Destruction of up to 14 skin growths	284	204	$111.48	$88.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	260	241	$147.88	$122.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	124	65	$21.37	$1.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	116	61	$20.78	$11.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	69	$43.14	$37.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	81	$110.79	$89.72
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	47	28	$83.13	$75.67
11200 Removal of skin tag, 1-15 skin tags	32	26	$88.36	$64.77
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	26	26	$122.25	$92.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$110.36	$89.36
36415 Insertion of needle into vein for collection of blood sample	21	14	$8.36	$2.98
17111 Destruction of skin growth, 15 or more growths	18	13	$139.38	$108.21
11102 Tangential biopsy of single skin lesion	17	17	$100.99	$82.50
11104 Punch biopsy, first skin growth	15	14	$126.96	$103.16
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	13	12	$111.26	$87.98
17004 Destruction of precancer skin growth, 15 or more growths	11	11	$153.92	$130.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,232	810	$71.53	$60.64
17003 Destruction of precancer skin growth, 2-14 growths	1,218	234	$10.52	$4.60
17000 Destruction of skin growth	389	331	$73.32	$48.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	254	229	$141.17	$120.22
17110 Destruction of up to 14 skin growths	249	190	$106.47	$88.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	82	$42.89	$36.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	69	$19.66	$1.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	98	64	$23.70	$13.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	81	$107.24	$88.34
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	54	38	$69.14	$64.63
11200 Removal of skin tag, 1-15 skin tags	39	35	$84.30	$64.40
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	34	34	$125.07	$88.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$104.77	$89.69
11102 Tangential biopsy of single skin lesion	21	21	$100.99	$72.78
17111 Destruction of skin growth, 15 or more growths	21	14	$122.56	$106.75
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	19	18	$113.00	$99.40
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	17	14	$106.38	$84.58
36415 Insertion of needle into vein for collection of blood sample	17	14	$5.00	$2.94
11104 Punch biopsy, first skin growth	13	13	$137.19	$95.49
17004 Destruction of precancer skin growth, 15 or more growths	12	11	$142.88	$125.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,255	239	$9.58	$4.33
99213 Established patient office or other outpatient visit, typically 15 minutes	1,186	815	$71.33	$59.58
17000 Destruction of skin growth	378	311	$72.54	$51.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	260	239	$140.57	$120.14
17110 Destruction of up to 14 skin growths	191	151	$107.28	$89.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	96	66	$21.37	$1.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	67	$41.84	$35.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	85	$108.13	$86.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	89	63	$23.49	$16.55
11200 Removal of skin tag, 1-15 skin tags	47	40	$84.30	$67.27
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	33	26	$68.85	$61.36
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	30	25	$111.91	$81.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$107.29	$86.72
11100 Biopsy of single growth of skin and/or tissue	25	25	$97.29	$79.20
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	25	21	$105.82	$79.21
36415 Insertion of needle into vein for collection of blood sample	22	19	$5.00	$2.94
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	19	15	$98.07	$54.49
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	16	15	$106.38	$87.23
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$114.39	$95.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,546	275	$9.81	$4.60
99213 Established patient office or other outpatient visit, typically 15 minutes	1,400	869	$71.28	$59.64
17000 Destruction of skin growth	443	349	$71.97	$51.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	240	210	$140.26	$119.09
17110 Destruction of up to 14 skin growths	154	119	$110.17	$86.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	103	$43.35	$34.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	114	75	$21.93	$1.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	111	73	$23.49	$20.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	71	$106.10	$88.08
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	50	44	$111.91	$88.65
11200 Removal of skin tag, 1-15 skin tags	45	38	$84.30	$67.27
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	43	37	$105.82	$69.66
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	39	27	$67.56	$54.97
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	38	33	$106.38	$77.38
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	26	24	$117.89	$97.21
11100 Biopsy of single growth of skin and/or tissue	25	25	$97.29	$78.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$104.77	$89.05
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	21	18	$90.33	$69.32
36415 Insertion of needle into vein for collection of blood sample	18	16	$5.00	$2.94
17004 Destruction of precancer skin growth, 15 or more growths	17	15	$142.88	$116.73

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Jason B. Amato, Md Dermatology, Llc

522 N New Ballas Rd, Saint Louis, MO 631416819

Phone: 3145693323

Practice Associates & Co-Workers

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

14 Associated Practitioners

Madeline Taylor

Nurse Practitioner - Family

NPI 1033079355

Dr. Carl Soderstrom , MD

Dermatology - Dermatopathology

NPI 1053370759

Doctor of Medicine (M.D.)

Dr. James Jeffries , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1073655676

Doctor of Medicine (M.D.)

Stuart Berryman , PA-C

Physician Assistant - Medical

NPI 1093774705

Physician Assistant (Certified)

Jordyn Lewandowski , APRN

Nurse Practitioner - Family

NPI 1144892175

Advanced Practice Registered Nurse

Dr. Tesfu Hailu , MD

Dermatology - Dermatopathology

NPI 1245490382

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 11, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 11, 2010

Registered at 4909 N GLEN PARK PLACE RD, PEORIA, IL 616144676 (Tel: 3096747546)

📍

Updated Business Mailing Address August 11, 2010

Registered at 4909 N GLEN PARK PLACE RD, PEORIA, IL 616144676 (Tel: 3096747546)

👤

Provider Name / Credentials Updated August 11, 2010

Recorded as STEPHANIE ELLIS, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2010

Physician Assistant

🟢

Initial NPI Registration & Enumeration August 11, 2010

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: 1922313238

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 11, 2010

Last Update: August 11, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4909 N Glen Park Place Rd

Peoria, IL 616144676

Phone: 3096747546

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.