Dr. Mark Gregory Ellis , MD
Pediatrics β’ Eureka, CA
2200 Tydd St
Eureka, CA 955011284
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
2200 Tydd St
Eureka, CA 955011284
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Eureka, CA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Ellis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Ellis as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Eureka and California
13 active clinicians are listed under Pediatrics with a practice address in Eureka, CA (9,280 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Eureka
0% of these 13 clinicians have the CMS telehealth indicator.
0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PEDIATRIC MEDICINE
I20101103000094
CA
1658565759
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
2800 Harris St
Eureka, CA 955034809
Phone: 7074458416
2800 Harris St
Eureka, CA 955034809
Phone: 7074458416
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 2200 TYDD ST, EUREKA, CA 955011284 (Tel: 7072697051)
Registered at 670 9TH ST STE 203, ARCATA, CA 955216249 (Tel: 7078268633)
Recorded as MARK ELLIS, MD
Pediatrics (license number reported to NPPES: CA G65432)
Registered at 2200 TYDD ST, EUREKA, CA 955011284 (Tel: 7072697051)
NPI status registered as active in NPPES database
Registered at 670 9TH ST STE 203, ARCATA, CA 955216249 (Tel: 7078268633)
Registered at 2800 HARRIS ST, EUREKA, CA 955034809 (Tel: 7074458416)
Recorded as MARK ELLIS, MD
Pediatrics (license number reported to NPPES: CA G65432)
NPI status registered as active in NPPES database
Registered at 2800 HARRIS ST, EUREKA, CA 955034809 (Tel: 7074458416)
Registered at 2800 HARRIS ST, EUREKA, CA 955034809 (Tel: 7074458416)
Recorded as MARK ELLIS, MD
Pediatrics (license number reported to NPPES: CA G65432)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
670 9th St Ste 203
Arcata, CA 955216249
Phone: 7078268633