Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1821099201 Deactivated / Inactive NPI Male Practitioner

Dr. John S Collis , MD

Neurological Surgery • Broadview Hts, OH

⚠️

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. John Collis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2005
NPI Deactivation Date December 20, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. John Collis, MD was a registered Neurological Surgery practicing in Broadview Hts, OH. Throughout an active medical career spanning 15 years, Dr. Collis provided care at the practice location at 1 EAGLE VALLEY CT until profile deactivation on 2020-12-20.

Historical Medicare Part B clinical services included new patient outpatient office visit, 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

1 Eagle Valley Ct
Suite 101

Broadview Hts, OH 441472982

Telephone 4407461055
Fax 4407461052
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Broadview Hts, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Broadview Hts, OH (377 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
52 52 $373.00 $199.65
99213 Established patient office or other outpatient visit, typically 15 minutes
28 25 $127.00 $71.11

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License OH 35022577

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Debra Klein , PA-C

Physician Assistant

NPI 1609057124

Physician Assistant (Certified)

Dr. Young Kim , MD

Neurological Surgery

NPI 1922009125

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated December 20, 2020

Record deactivated on December 20, 2020

NPI Profile Active April 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2012

Registered at 1 EAGLE VALLEY CT, SUITE 101, BROADVIEW HTS, OH 441472982 (Tel: 4407461055)

📍
Updated Business Mailing Address April 12, 2012

Registered at 7580 NORTHCLIFF AVE, SUITE 500, BROOKLYN, OH 441443270 (Tel: 2164722741)

👤
Provider Name / Credentials Updated April 12, 2012

Recorded as JOHN COLLIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2012

Neurological Surgery (License #35022577 in OH)

🟢
Initial NPI Registration & Enumeration August 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. John Collis. Be the first to share your experience!

Sign in to leave a review for Dr. John Collis

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1821099201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2005
Last Update: April 12, 2012
Deactivation Date: December 20, 2020

Mailing Address

7580 Northcliff Ave, Suite 500

Brooklyn, OH 441443270

Phone: 2164722741

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.