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Jerry R. Ellis Dds Pc

NPI 1073516365ActiveIndividual· Dentist, General Practice· Midlothian, TX

Dentist, General Practice in Midlothian, Texas, licensed in TX, with an NPI issued in May 2005. Part D covered 39 prescriptions written in 2024, 79% of them generic.

Overview

NPI1073516365
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 31, 2005
Last updated in NPPESMar 9, 2023
Certified by providerMar 9, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X13742TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Oral Surgery (TX)

Part D prescriptions in 2024

Prescriptions (claims)39 · 46 30-day fills
Patients30
Total drug cost$203.44
Generic share79% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist, General Practice providers in Midlothian

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