Randall E. Ellis, M.D.
NPI 1396784138ActiveIndividual· Emergency Medicine· Clarksville, TN
Emergency Medicine (M.D.) in Clarksville, Tennessee, trained at Vanderbilt University School of Medicine (class of 1989). Mostly services rather than prescriptions: Medicare paid $7,023 for 98 patients in 2024, with only 47 Part D claims. Boston Scientific Corporation reported $45.33 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1396784138 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 6, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | MD27444 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (KY); Practitioner - Emergency Medicine (TN); Practitioner - Emergency Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 98 |
|---|---|
| Services billed | 137 across 9 procedure codes |
| Paid by Medicare | $7,023 |
Part D prescriptions in 2024
| Prescriptions (claims) | 47 · 47 30-day fills |
|---|---|
| Patients | 34 |
| Total drug cost | $301.58 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | Vanderbilt University School of Medicine |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Emergency Medicine |
Medical group
- San Carlos Apache Healthcare CorporationPeridot, AZ · 148 clinicians
Hospital affiliation
- San Carlos Apache Healthcare CorporationPeridot, AZ
Industry payments (Open Payments)
- 2025$45.33 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $45.33 | 2 |
What the 2025 payments were for
- Food and Beverage$45.33 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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