Doctor profile · Federal record
Dr. Jordan Ellis, PA-C
Physician Assistant · Tupelo, MS
- NPI 1568197788
- Accepts Medicare
- 3 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1211 S Gloster St
Tupelo, MS 388016546
(662) 767-4200 - Mailing address
-
1211 S Gloster St Ste A
Tupelo, MS 388016548
Credentials & registration
- NPI registered
- July 2022 — 4 yrs on file
- Profile last updated
- October 30, 2023
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Mississippi #PA00742
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1568197788. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
92
Distinct HCPCS
4
Medicare allowed
$4,759
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 30 | 28 | $69 | |
72100 |
X-ray of lower and sacral spine, 2-3 views | 27 | 27 | $30 | |
72170 |
X-ray of pelvis, 1-2 views | 20 | 20 | $21 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 15 | 15 | $99 |
In context: peer comparison
Among 11 peers in Tupelo Physician Assistant, average services per provider: 192. This provider delivers 0.5× the peer median.Open Payments
Industry payments received
All-time total
$136
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kedrion Biopharma, INC. | 1 | $72.63 | |
| Boston Scientific Corporation | 3 | $62.88 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
14
Patients
12
Total drug cost
$61
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 14 | 12 | $61 |
Hospital affiliations
Frequently asked questions
What is Dr. Jordan Ellis's medical specialty?
Dr. Jordan Ellis practices Physician Assistant in Tupelo, MS.
Where does Dr. Jordan Ellis practice?
Dr. Jordan Ellis practices at 1211 S Gloster St, Tupelo, MS 388016546. Office phone: 6627674200.
What is Dr. Jordan Ellis's NPI?
Dr. Jordan Ellis's National Provider Identifier (NPI) is 1568197788, issued by NPPES.
Does Dr. Jordan Ellis accept Medicare assignment?
Yes. Dr. Jordan Ellis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jordan Ellis commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); X-ray of lower and sacral spine, 2-3 views (HCPCS 72100); X-ray of pelvis, 1-2 views (HCPCS 72170). Source: CMS Medicare Physician & Other Practitioners file.