Marc Ellman, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

L8680 Issued in TX

Practice address

1400 Common Dr
El Paso, TX 79936-5922

Phone

(915) 595-4375

Fax

(915) 595-4460

NPI assigned

May 12, 2006

Last updated

Apr 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Pennsylvania State University College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marc Ellman MD PAGroup PAC ID 2264408152, 17 clinicians

Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.66 of 100Reported as group

Quality

84.9

Promoting interoperability

100

Improvement activities

40

Cost

77.31

Merit-based Incentive Payment System (MIPS)

Final score

89.17 of 100Reported as group

Quality

80.36

Promoting interoperability

99

Improvement activities

40

Cost

84.37

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marc.ellman.p20@direct.avp.nextgenshare.com
• Direct secure messaging: marc.ellman.p26@direct.avp.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marc Ellman, M.D., P.a.

  dba Southwest Eye Institute

  • Ophthalmology Physician
  • El Paso, TX
  • NPI 1053530907

  NM

  Medicare reassignment Care Compare group NPD
• Southwestern Eye Center LTD

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1023063187

  NM

  Medicare reassignment Care Compare group NPD
• Vista Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • El Paso, TX
  • NPI 1033316765
  NPD Authorized official
• Marc Ellman, M.D., P.a.

  dba Southwest Eye Institute

  • Ophthalmology Physician
  • Las Cruces, NM
  • NPI 1730751454
  NPD
• Southwestern Eye Center, LTD

  • Durable Medical Equipment & Medical Supplies
  • Tempe, AZ
  • NPI 1558102608
  NPD
• Eyelid & Facial Plastic Surgery Associates PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Austin, TX
  • NPI 1932629490
  NPD (past)
• Desert Peaks Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Las Cruces, NM
  • NPI 1093368151
  NPD (past)
• Southwest Eye Institute, Inc.

  dba ClearSight Center

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1275661225
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1780635268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164963",
            "telephone_number": "915-267-2020",
            "fax_number": "915-595-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COMMON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365922",
            "telephone_number": "915-595-4375",
            "fax_number": "915-595-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Deming",
            "state": "NM",
            "postal_code": "880304940",
            "country_code": "US",
            "telephone_number": "575-544-3937",
            "fax_number": "575-546-2870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Saturn Cir",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880127727",
            "country_code": "US",
            "telephone_number": "575-567-2020",
            "fax_number": "915-595-4460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 S Solano Dr",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880015402",
            "country_code": "US",
            "telephone_number": "575-521-1158",
            "fax_number": "575-521-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLMAN",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2004-0199",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L8680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17702003",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168080301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Suzanne Ellis, MD
• Mariah Alyss Ellis
• Sarah Michelle Ellis, FNP-C
• Steven Lee Ellis, D.O.
• Patricia E Ellison, OTR
• Genesis Elmobaraky
• Sindi Elorreaga, LPC
• Elsa Nunez
• Esraa Sobhy Masoud Mohamed Elsayed
• Karim Ahmed Elsharkawy, MD

• Ophthalmology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.