Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477527877 Individual Practitioner Male Practitioner

Dr. John C Ellis , MD

Specialist • Lees Summit, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Ellis, MD is a certified Specialist practicing in Lees Summit, MO. With approximately 46 years of clinical experience since graduating from University Of Missouri, Kansas City, School Of Medicine in 1980, Dr. Ellis delivers high-quality medical care to the local community at 4880 NE GOODVIEW CIRCLE.

Dr. Ellis is affiliated with Carroll County Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of impacted ear wax, professional service for multiple injections of allergen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4880 Ne Goodview Circle

Lees Summit, MO 64064

Telephone 8164784200
Fax 8164780507
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Missouri, Kansas City, School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lees Summit, MO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
46 Yrs Matches City Avg
City Avg: 46.0 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Lees Summit, MO (503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellis (46 Years) 46 Yrs
Lees Summit Specialty Average (46.0 Years) 46.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes
103 69 $151.60 $60.72
69210 Removal of impacted ear wax
22 15 $83.18 $30.39

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MO R8E78

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aetna
4001449 (MO)
Commercial Insurance / Payer ID Bcbs Of Kc
11540041 (MO)
Commercial Insurance / Payer ID Uhc
1008021 (MO)
Commercial Insurance / Payer ID Bndd
9852 (MO)
Commercial Insurance / Payer ID Champus
204510882 (MO)

Hospital & Practice Group Affiliations

Carroll County Memorial Hospital

1502 N Jefferson St, Carrollton, MO 646331948

Phone: 6605421695

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003173436

Doctor of Medicine (M.D.)

NPI 1013320035

Doctor of Audiology

NPI 1013980614

Doctor of Medicine (M.D.)

NPI 1073727616

Doctor of Audiology

NPI 1073756953

Doctor of Medicine (M.D.)

Dr. James Dangelo , DO

Family Medicine

NPI 1093704314

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 15, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2012

Registered at 4880 NE GOODVIEW CIRCLE, LEES SUMMIT, MO 64064 (Tel: 8164784200)

📍
Updated Business Mailing Address March 15, 2012

Registered at 3340 NE RALPH POWELL RD, SUITE B, LEES SUMMIT, MO 640642368 (Tel: 8168752599)

👤
Provider Name / Credentials Updated March 15, 2012

Recorded as JOHN ELLIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2012

Specialist (License #R8E78 in MO)

🟢
Initial NPI Registration & Enumeration February 14, 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: 1477527877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

3340 Ne Ralph Powell Rd, Suite B

Lees Summit, MO 640642368

Phone: 8168752599

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.