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John Blaise Ellery III, MD

NPI 1962039511ActiveIndividual· Family Medicine· Sequim, WA

Family Medicine (MD) in Sequim, Washington, trained at University of North Carolina at Chapel Hill School of Medicine (class of 2020). Their prescriptions cost Medicare Part D more than their services did: $531,619 for 4,569 claims, against $833.04 paid for services in 2024.

Overview

NPI1962039511
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedMar 24, 2020
Last updated in NPPESApr 22, 2024
Certified by providerApr 22, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000XMD61439050WA

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 Practitioner - Family Practice (WA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients139
Services billed177 across 8 procedure codes
Paid by Medicare$833.04

Part D prescriptions in 2024

Prescriptions (claims)4,569 · 10,331 30-day fills
Patients626
Total drug cost$531,619
Generic share86% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of North Carolina at Chapel Hill School of Medicine
Graduation year2020
Medicare specialtyFamily Practice

Medical group

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other family medicine physicians in Sequim

All 31 family medicine physicians in Sequim · All family medicine physicians in Washington