Doctor profile · Federal record
Dr. Robert Ellis, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Medical Physician Assistant · Surgical Physician Assistant · Memphis, TN
- NPI 1780278499
- Accepts Medicare
- MIPS 87.9 / 100 · 2023
- 6 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
6025 Walnut Grove RD Ste 301
Memphis, TN 381202123
(901) 226-0456
fax (901) 226-0458 - Additional location
-
2100 Exeter RD
Germantown, TN 381383966
(901) 757-1350
fax (901) 757-3496 - Additional location
-
8138 Country Village Dr
Cordova, TN 380162029
(901) 725-8606
fax (901) 759-9254 - Additional location
-
363 Southcrest Cir Ste 202
Southaven, MS 386714737 - Mailing address
-
965 Ridge Lake Blvd Ste 315
Memphis, TN 381209401
Show 1 more location
Credentials & registration
- NPI registered
- February 2021 — 5 yrs on file
- Profile last updated
- February 24, 2025
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (2)
- Tennessee #5490 · Mississippi #PA00540
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1780278499. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$118
Transactions
5
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| MicroVention, Inc. | 2 | $52.22 | |
| Medtronic, Inc. | 1 | $34.19 | |
| Boston Scientific Corporation | 2 | $31.81 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
15
Patients
15
Total drug cost
$54
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 15 | 15 | $54 |
Frequently asked questions
What is Dr. Robert Ellis's medical specialty?
Dr. Robert Ellis practices Surgical Physician Assistant in Memphis, TN.
Where does Dr. Robert Ellis practice?
Dr. Robert Ellis practices at 6025 Walnut Grove RD Ste 301, Memphis, TN 381202123. Office phone: 9012260456.
What is Dr. Robert Ellis's NPI?
Dr. Robert Ellis's National Provider Identifier (NPI) is 1780278499, issued by NPPES.
Does Dr. Robert Ellis accept Medicare assignment?
Yes. Dr. Robert Ellis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.