Doctor profile · Federal record
Dr. Jonathan Ellichman, M.D.
Vascular Surgery Physician (CMS: Cardiac Surgery) · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Memphis, TN
- NPI 1073538823
- Accepts Medicare
- MIPS 92.6 / 100 · 2023
- 27 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
6401 Poplar Ave Ste 410
Memphis, TN 381194808
(901) 259-2718
fax (901) 259-1123 - Mailing address
-
1779 Kirby Pkwy # 1-511
Memphis, TN 381383666
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- March 8, 2016
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 2086S0129X — NUCC code
- State licenses (2)
- Mississippi #18972 · Tennessee #39618
- Medicaid (3)
- TN #30005342 · AR #165449001 · MS #06336753
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073538823. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,523
Distinct HCPCS
10
Medicare allowed
$1,498,645
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J2720 |
Injection, protamine sulfate, per 10 mg | 305 | 58 | $1 | |
93925 |
Ultrasound of leg arteries or artery grafts | 156 | 136 | $210 | |
J1200 |
Injection, diphenhydramine hcl, up to 50 mg | 106 | 60 | $1 | |
37229 |
Removal of plaque in artery of leg, initial vessel | 104 | 61 | $7,034 | |
37233 |
Removal of plaque in artery of leg, each additional vessel | 103 | 57 | $936 | |
J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) | 91 | 52 | $1 | |
J0690 |
Injection, cefazolin sodium, 500 mg | 78 | 23 | $1 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 71 | 59 | $85 | |
37253 |
Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel | 62 | 17 | $157 | |
37225 |
Removal of plaque in arteries of leg | 55 | 43 | $4,676 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 48. This provider delivers 32× the peer median.Open Payments
Industry payments received
All-time total
$444
Transactions
7
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Penumbra, Inc. | 2 | $244.46 | |
| Becton, Dickinson and Company | 3 | $145.75 | |
| BIOTISSUE HOLDINGS INC. | 1 | $31.40 | |
| Boston Scientific Corporation | 1 | $22.69 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
37
Patients
31
Total drug cost
$869
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 37 | 31 | $869 |
Frequently asked questions
What is Dr. Jonathan Ellichman's medical specialty?
Dr. Jonathan Ellichman practices Vascular Surgery Physician in Memphis, TN.
Where does Dr. Jonathan Ellichman practice?
Dr. Jonathan Ellichman practices at 6401 Poplar Ave Ste 410, Memphis, TN 381194808. Office phone: 9012592718.
What is Dr. Jonathan Ellichman's NPI?
Dr. Jonathan Ellichman's National Provider Identifier (NPI) is 1073538823, issued by NPPES.
Does Dr. Jonathan Ellichman accept Medicare assignment?
Yes. Dr. Jonathan Ellichman accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jonathan Ellichman commonly perform?
Top Medicare-reported procedures in 2023: Injection, protamine sulfate, per 10 mg (HCPCS J2720); Ultrasound of leg arteries or artery grafts (HCPCS 93925); Injection, diphenhydramine hcl, up to 50 mg (HCPCS J1200). Source: CMS Medicare Physician & Other Practitioners file.