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Active NPI 1346962982 Individual Practitioner Male Practitioner

Jack Ellis , PA-C

Physician Assistant • Powell, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jack Ellis, PA-C is a certified Physician Assistant practicing in Powell, OH. With approximately 4 years of clinical experience since completing medical education in 2022, Jack Ellis delivers high-quality medical care to the local community at 4141 N HAMPTON DR STE 200.

Jack Ellis is affiliated with Ohiohealth Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4141 N Hampton Dr Ste 200

Powell, OH 430657062

Telephone 6147640200

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Powell, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -7.0 yrs vs City Avg
City Avg: 11.0 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Powell, OH (5376 Statewide)

Telehealth Adoption Rate
75.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellis (4 Years) 4 Yrs
Powell Specialty Average (11.0 Years) 11.0 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
80 59 $126.00 $68.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 21 $187.00 $86.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
14 14 $316.00 $77.69
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
14 12 $31.00 $13.31

Medical Specialties & State Licenses

CMS Verified: 2022-11-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.007768RX

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

Ohiohealth Corporation

4141 N Hampton Dr, Powell, OH 430657155

Phone: 7406152800

Ohiohealth Corporation

393 E Town St, Columbus, OH 432154799

Practice Associates & Co-Workers

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

4 Associated Practitioners
Katherine Stemen , MSN, APRN

Nurse Practitioner - Family

NPI 1013472059

Master of Science in Nursing, Advanced Practice Registered Nurse

NPI 1134133598

Doctor of Medicine (M.D.)

Dr. Emma Zockoll , DO

Family Medicine

NPI 1578190898

Doctor of Osteopathic Medicine (D.O.)

NPI 1649444621

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 September 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2022

Registered at 4141 N HAMPTON DR STE 200, POWELL, OH 430657062 (Tel: 6147640200)

📍
Updated Business Mailing Address September 12, 2022

Registered at PO BOX 7527, DUBLIN, OH 430170727

👤
Provider Name / Credentials Updated September 12, 2022

Recorded as JACK ELLIS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2022

Physician Assistant (License #50.007768RX in OH)

🟢
Initial NPI Registration & Enumeration September 12, 2022

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: 1346962982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2022
Last Update: November 21, 2022
Sole Proprietor: No

Mailing Address

Po Box 7527

Dublin, OH 430170727

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.