Charles Lee Ellis, DDS, MD
NPI 1013098698ActiveIndividual· Dentist, Oral and Maxillofacial Surgery· Green Bay, WI
Opted out of Medicare from May 2021 to May 2027. Dentist, Oral and Maxillofacial Surgery (DDS, MD) in Green Bay, Wisconsin, licensed in NC, VA and IL, with an NPI issued in October 2006. Part D covered 493 prescriptions written in 2024, 100% of them generic. Straumann USA LLC reported $149.83 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1013098698 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS, MD |
| Sole proprietor | Yes |
| NPI issued | Oct 18, 2006 |
| Last updated in NPPES | Aug 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 8919 | NC |
| Dentist | 122300000X | 8919 | NC |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 0401411258 | VA |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 019022235 | IL |
| Oral & Maxillofacial Surgery | 204E00000X | 0101058265 | VA |
| Oral & Maxillofacial Surgery | 204E00000X | 8919 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out May 1, 2021 – May 1, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 493 · 493 30-day fills |
|---|---|
| Patients | 231 |
| Total drug cost | $1,722 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2024$149.83 · 3 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $149.83 | 3 |
What the 2024 payments were for
- Food and Beverage$149.83 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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