Carolyn Ellis
Specialist with Upmc Community Medicine Inc, practicing in Pittsburgh, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $490,871 for 6,687 claims, against $70,897 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 4 companies reporting payments in 2025, $141.91 in all, mostly food and beverage. Lists Magee Womens Hospital of Upmc Health System and 4 other hospitals as hospital affiliations. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1225001548 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 8, 2006 |
| Last updated in NPPES | Mar 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | MD054383L | PA |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Pennsylvania, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Carolyn R. Ellis · Nurse/Nurses Aide | 1128b4 | Apr 20, 2000 | Orrtanna, PA |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| 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 | Possible (name) | Precluded · since Apr 20, 2000 · PA |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 281 |
|---|---|
| Services billed | 1,293 across 54 procedure codes |
| Paid by Medicare | $70,897 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,687 · 16,267 30-day fills |
|---|---|
| Patients | 470 |
| Total drug cost | $490,871 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Upmc Community Medicine IncWest View, PA · 736 clinicians
Hospital affiliations
- Magee Womens Hospital of Upmc Health SystemPittsburgh, PA
- Upmc MercyPittsburgh, PA
- Upmc PassavantPittsburgh, PA
- Upmc Presbyterian ShadysidePittsburgh, PA
- Upmc St MargaretPittsburgh, PA
Industry payments (Open Payments)
- 2025$141.91 · 6 payments from 4 companies
- 2024$104.51 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $79.88 | 3 |
| Exact Sciences Corporation | $23.83 | 1 |
| Lilly USA, LLC | $21.06 | 1 |
| E.R. Squibb & Sons, L.L.C. | $17.14 | 1 |
What the 2025 payments were for
- Food and Beverage$141.91 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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