Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033275896 Individual Practitioner Male Practitioner

Dr. Keith W. Ellis , MD

Internal Medicine • Springfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keith Ellis, MD is a certified Internal Medicine practicing in Springfield, MO. With approximately 29 years of clinical experience since graduating from Texas A & M University System, Hsc, College Of Medicine in 1997, Dr. Ellis delivers high-quality medical care to the local community at 2115 S FREMONT AVE.

Dr. Ellis is affiliated with Mercy Clinic Springfield Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, hospital observation care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2115 S Fremont Ave
Suite 2300

Springfield, MO 658042239

Telephone 4178205600
Fax 4178205606
Associated Practice Facility / Clinic
🏢 Mercy Hospital Springfield Facility NPI 1477505816

Medicare Profile & Education

Medical School

Texas A & M University System, Hsc, College Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +6.8 yrs vs City Avg
City Avg: 22.2 Yrs
State Avg: 25.5 Yrs
Regional Practice Density
147 Specialists

Practicing in Springfield, MO (2747 Statewide)

Telehealth Adoption Rate
12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellis (29 Years) 29 Yrs
Springfield Specialty Average (22.2 Years) 22.2 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
210 207 $333.00 $160.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
149 148 $252.00 $121.96

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MO 2000151548

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
204963003 (MO)

Hospital & Practice Group Affiliations

Mercy Clinic Springfield Communities

2115 S Fremont Ave, Springfield, MO 658042236

Phone: 4178203905

Mercy Clinic Springfield Communities

1235 E Cherokee St, Springfield, MO 658042203

Practice Associates & Co-Workers

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

11 Associated Practitioners
Courtney Blasczyk , PA-C

Physician Assistant

NPI 1104688084

Physician Assistant (Certified)

Carrie Kugler , PA-C

Physician Assistant

NPI 1255497889

Physician Assistant (Certified)

Dr. William Taylor , MD

Internal Medicine

NPI 1376609909

Doctor of Medicine (M.D.)

Dr. Michael Scott , MD

Internal Medicine

NPI 1437215217

Doctor of Medicine (M.D.)

NPI 1447316294

Doctor of Medicine (M.D.)

Alejandra Roa Gonzalez

Internal Medicine

NPI 1528527314

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 14, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2008

Registered at 2115 S FREMONT AVE, SUITE 2300, SPRINGFIELD, MO 658042239 (Tel: 4178205600)

📍
Updated Business Mailing Address July 14, 2008

Registered at PO BOX 2580, SPRINGFIELD, MO 658012580 (Tel: 4178294620)

👤
Provider Name / Credentials Updated July 14, 2008

Recorded as KEITH ELLIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2008

Internal Medicine (License #2000151548 in MO)

🟢
Initial NPI Registration & Enumeration December 28, 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: 1033275896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: July 14, 2008
Sole Proprietor: No

Mailing Address

Po Box 2580

Springfield, MO 658012580

Phone: 4178294620

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.