DR. WLADISLAW V ELLIS M.D.
NPI 1992702039
Pain Medicine - Interventional Pain Medicine in Grass Valley, CA
NPI Status: Active since July 05, 2005
Contact Information
13847 MALLORY CT
GRASS VALLEY, CA
ZIP 95949
Phone: (510) 849-4703
Fax: (530) 477-6092
- Individual
- Male
- Years of Experience 56
- Pain Medicine
- Interventional Pain Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
About WLADISLAW ELLIS
This page provides the complete NPI Profile along with additional information for Wladislaw Ellis, a provider established in Grass Valley, California with a medical specialization in Pain Medicine, focusing in interventional pain medicine and more than 56 years of experience. He graduated from University Of California, Geffen School Of Medicine in 1970. The healthcare provider is registered in the NPI registry with number 1992702039 assigned on July 2005. The practitioner's primary taxonomy code is 208VP0014X with license number A24351 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1992702039
- Provider Name
- DR. WLADISLAW V ELLIS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 13847 MALLORY CT GRASS VALLEY, CA 95949
- Location Phone
- (510) 849-4703
- Location Fax
- (530) 477-6092
- Mailing Address
- 13847 MALLORY CT GRASS VALLEY, CA 95949
- Mailing Phone
- (510) 849-4703
- Mailing Fax
- (530) 477-6092
- Medical School Name
- UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
- Graduation Year
- 1970
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-05-2005
- Last Update Date
- 11-16-2018
- Code Navigator
Location Map
Secondary Locations
- 1220 Oxford St
Berkeley, CA 94709
(510) 849-4703
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A24351
- License State
- CA
- Taxonomy Description
- Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Medicare Participation & PECOS Enrollment Status
Wladislaw Ellis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Wladislaw Ellis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6204934102
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20070530000508
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Injection of anesthetic agent and/or steroid into arm nerve bundle
Injection of anesthetic agent into thoracic vertebra using imaging guidance, single site
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 52 times for 11 patientsThis procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
This service was performed 136 times for 16 patientsThis procedure involves injecting a numbing agent into your thoracic vertebra, the mid-section of your spine. Using real-time imaging, the doctor accurately targets the exact location for the injection. This helps to alleviate pain or prepare you for surgery.
This service was performed 135 times for 16 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.48 for a new patient copayment and $25.84 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95949 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $133.94
- Minimum New Patient Price $58.87
- Maximum New Patient Price $176.6
- Average New Patient Copayment $33.48
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.36
- Minimum Established Patient Price $19.28
- Maximum Established Patient Price $144.6
- Average Established Patient Copayment $25.84
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.15
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 9 | 2 | 7 | 0 | 2 | 0 | 3 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 18 | 2 | 14 | 0 | 4 | 0 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 1 + 8 + 2 + 1 + 4 + 0 + 4 + 0 + 6 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1992702039 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992702039, enumerated in the NPI registry as an "individual" on July 05, 2005
The provider is located at 13847 Mallory Ct Grass Valley, Ca 95949 and the phone number is (510) 849-4703
The provider's speciality is Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine
The provider has more than 56 years of experience. He graduated from University Of California, Geffen School Of Medicine in 1970.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $133.94 with an average copayment of $33.48 for new patient appointments. Established patients should expect a typical charge of $103.36 and an average copayment of 25.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Injection of anesthetic agent and/or steroid into arm nerve bundle and Injection of anesthetic agent into thoracic vertebra using imaging guidance, single site.
This NPI record was last updated on July 05, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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