Jerry Ellis, OD
NPI 1083776611 · Optometrist · Cherokee Village, AR
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerry Ellis, OD is a Optometrist provider in Cherokee Village, AR (NPI 1083776611).
Provider details
- NPI number
- 1083776611
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2408 (AR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
800 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 225 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 198 | $119 |
| Photography of the Retina92250 | 116 | $34 |
| Imaging of Optic Nerve92133 | 54 | $33 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 40 | $52 |
| Imaging of Retina92134 | 37 | $37 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 177 | 56 |
| Brimonidine Tartrate | 36 | 15 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 28 | — |
| Timolol Maleate | 27 | 13 |
| Dorzolamide Hcl | 21 | — |
| Brimonidine Tartrate/Timololbrand: Combigan | 17 | — |
| Bimatoprostbrand: Lumigan | 17 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2009-12-07
Frequently asked questions
- What is Jerry Ellis's NPI number?
- Jerry Ellis's National Provider Identifier (NPI) is 1083776611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Ellis's specialty?
- Jerry Ellis is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jerry Ellis located?
- Jerry Ellis's practice location on file with NPPES is 197 Hospital Drive, Cherokee Village, AR 72529-7315.
- What is Jerry Ellis's phone number?
- The practice phone number listed in the NPPES registry for Jerry Ellis is (870) 257-2100.
- Does Jerry Ellis accept Medicare?
- Jerry Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jerry Ellis's NPI active?
- Yes — Jerry Ellis's NPI (1083776611) is active in the NPPES registry as of the last update on 2009-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.