Andrea Ellis, MD
NPI 1063661148 · Family Medicine Physician · Tyler, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrea Ellis, MD is a Family Medicine Physician provider in Tyler, TX (NPI 1063661148).
Provider details
- NPI number
- 1063661148
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- BP10032729 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
616 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 246 | $94 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 201 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 93 | $128 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 63 | $63 |
| Physician Or Allowed Practitioner Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians andG0180 | 13 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 86 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 302 | 102 |
| Levothyroxine Sodium | 207 | 61 |
| Amlodipine Besylate | 181 | 66 |
| Lisinopril | 167 | 50 |
| Losartan Potassium | 162 | 49 |
| Omeprazole | 116 | 40 |
| Metformin Hcl |
Practice location
Mailing address
Additional practice locations (2)
- 520 Douglas BlvdTyler, TX 75702-8307Phone: (903) 593-1721
- 3593 E Grande BlvdTyler, TX 75707-1400Phone: (903) 839-2585
Registry dates
- Enumerated
- 2008-09-15
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Frequently asked questions
- What is Andrea Ellis's NPI number?
- Andrea Ellis's National Provider Identifier (NPI) is 1063661148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Ellis's specialty?
- Andrea Ellis is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Andrea Ellis located?
- Andrea Ellis's practice location on file with NPPES is 8288 S Broadway Ave, Tyler, TX 75703-5262.
- What is Andrea Ellis's phone number?
- The practice phone number listed in the NPPES registry for Andrea Ellis is (903) 606-7060.
- Does Andrea Ellis accept Medicare?
- Andrea Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrea Ellis's NPI active?
- Yes — Andrea Ellis's NPI (1063661148) is active in the NPPES registry as of the last update on 2024-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.