Thomas Alan Ellisor, D.D.S.
NPI 1649617838ActiveIndividual· Dentist· Lake Jackson, TX
Opted out of Medicare from April 2021 to April 2027. Dentist (D.D.S.) in Lake Jackson, Texas, licensed in TX, with an NPI issued in May 2013. Part D covered 63 prescriptions written in 2024, 78% of them generic. Dentsply Sirona Inc was the largest of 3 companies reporting payments in 2025, $151.21 in all, mostly food and beverage.
Overview
| NPI | 1649617838 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | May 28, 2013 |
| Last updated in NPPES | May 28, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 28931 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 13, 2021 – Apr 13, 2027 |
| Can order and refer | No |
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) | 63 · 63 30-day fills |
|---|---|
| Patients | 43 |
| Total drug cost | $339.37 |
| Generic share | 78% of claims |
Industry payments (Open Payments)
- 2025$151.21 · 4 payments from 3 companies
- 2024$35.06 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $100.66 | 2 |
| Zimvie Inc. | $32.81 | 1 |
| Patterson Companies, Inc. | $17.74 | 1 |
What the 2025 payments were for
- Food and Beverage$151.21 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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