Ellisiv Lien, MD
NPI 1265670749ActiveIndividual· Physical Medicine & Rehabilitation· Tyler, TX
Physical Medicine & Rehabilitation (MD) with Charles R Gordon MD PA, practicing in Tyler, Texas. Medicare paid $42,477 for services to 99 patients in 2024.
Overview
| NPI | 1265670749 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 22, 2009 |
| Last updated in NPPES | Jan 31, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | N1735 | TX |
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) | Enrolled Practitioner - Physical Medicine and Rehabilitation (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 401 across 15 procedure codes |
| Paid by Medicare | $42,477 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physical Medicine And Rehabilitation |
Medical group
- Charles R Gordon MD PATyler, TX · 25 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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