Doctor profile · Federal record
Dr. Stephanie Ellis, PA
Physician Assistant · Peoria, IL
- NPI 1922313238
- Accepts Medicare
- 16 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4909 N Glen Park Place RD
Peoria, IL 616144676
(309) 674-7546
fax (309) 282-0500
Credentials & registration
- NPI registered
- August 2010 — 16 yrs on file
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1922313238. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,354
Distinct HCPCS
10
Medicare allowed
$116,944
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 766 | 163 | $5 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 408 | 348 | $76 | |
17000 |
Destruction of precancer skin growth, 1 growth | 274 | 239 | $46 | |
17110 |
Destruction of skin growth, 1-14 growths | 197 | 175 | $94 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 162 | 162 | $96 | |
11102 |
Biopsy of related skin growth, first growth | 147 | 143 | $77 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 135 | 118 | $48 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 62 | 62 | $61 | |
11103 |
Biopsy of related skin growth, each additional growth | 43 | 27 | $42 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 39 | 34 | $107 |
In context: peer comparison
Among 18 peers in this city , average services per provider: 90. This provider delivers 26× the peer median.Open Payments
Industry payments received
All-time total
$177
Transactions
6
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 2 | $67.36 | |
| Novartis Pharmaceuticals Corporation | 1 | $57.67 | |
| GENZYME CORPORATION | 1 | $20.88 | |
| SUN PHARMACEUTICAL INDUSTRIES INC. | 1 | $17.16 | |
| Galderma Laboratories, L.P. | 1 | $14.03 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
660
Patients
412
Total drug cost
$21,963
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Triamcinolone Acetonide | Generic | 146 | 102 | $2,074 |
| Ketoconazole | Generic | 112 | 51 | $2,176 |
| Clobetasol Propionate | Generic | 103 | 61 | $6,722 |
| Betamethasone Dipropionate | Generic | 69 | 38 | $3,672 |
| Doxycycline Hyclate | Generic | 27 | 23 | $624 |
| Fluorouracil | Generic | 25 | 23 | $2,389 |
| Clindamycin Phosphate | Generic | 24 | 13 | $931 |
| Mupirocin | Generic | 24 | 15 | $214 |
| Hydroxyzine Hcl | Generic | 23 | 13 | $396 |
| Terbinafine Hcl | Generic | 21 | 14 | $247 |
Frequently asked questions
What is Dr. Stephanie Ellis's medical specialty?
Dr. Stephanie Ellis practices Physician Assistant in Peoria, IL.
Where does Dr. Stephanie Ellis practice?
Dr. Stephanie Ellis practices at 4909 N Glen Park Place RD, Peoria, IL 616144676. Office phone: 3096747546.
What is Dr. Stephanie Ellis's NPI?
Dr. Stephanie Ellis's National Provider Identifier (NPI) is 1922313238, issued by NPPES.
Does Dr. Stephanie Ellis accept Medicare assignment?
Yes. Dr. Stephanie Ellis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stephanie Ellis commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Established patient office or other outpatient visit (HCPCS 99213); Destruction of precancer skin growth, 1 growth (HCPCS 17000). Source: CMS Medicare Physician & Other Practitioners file.