NPPES file of Aug 9, 2026

Colette Mark Ellis, MD

General Practice Physician · Fairborn, OH

Colette Mark Ellis, MD is a general practice physician with a practice address in Fairborn, Ohio, and NPI 1629530225, issued on Apr 2, 2019. Check the license on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1629530225
Name
Colette Mark Ellis
Credential
MD
Primary taxonomy
General Practice Physician 208D00000X
License number
S8030 TX
Self-reported in NPPES; status is on the state search
Practice location
1059 Baywood Dr, Fairborn, OH 45324
Phone
(713) 339-0341
Enumerated
Apr 2, 2019
Record last updated
Jul 27, 2022
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Colette Mark Ellis in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersState Medical Board of OhioCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Ohio license search

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The practice group's MIPS final score for 2023 (Medicare payment program): 81.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score75.4
  2. Costout of 100 · 30%29.9
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Colette Mark Ellis among 280 general practice physician records in Ohio

Colette Mark Ellis, MD is one of 280 general practice physician records with a practice address in Ohio. 47% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 80% of them.

  • NPI issued2019 · 80% of these records are older, 16% newer
  • In a Medicare fileYes · 47% of these records are
  • In the CMS Doctors and Clinicians fileNo · 25% of these records are
  • Record last updated2022 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208D00000X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

General Practice Physician providers in Ohio

There are 280 general practice physician records in Ohio.

The 8 general practice physician records with the nearest ZIP codes

  1. Pamela Hale, MDYellow Springs, OH 453871295853141
  2. Adreonna BandaUnion City, OH 453901780552166
  3. Robert Faul, M.D.Cincinnati, OH 452471205024825
  4. Dennis Humphries, MDCincinnati, OH 452461144392432
  5. Timothy Smith, DOCincinnati, OH 452461376536433
  6. Muhammad Asif BasitDayton, OH 454051629633623
  7. Gabriel Deguia, M.D.Cincinnati, OH 452431740208677
  8. Emily Buerschen, DODayton, OH 454091659958478

Common questions

What is Colette Mark Ellis, MD's NPI number?

Colette Mark Ellis, MD's National Provider Identifier (NPI) is 1629530225, issued on Apr 2, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Colette Mark Ellis, MD located?

The NPPES record lists a practice address at 1059 Baywood Dr, Fairborn, OH, 45324. Phone: (713) 339-0341. Providers update this record themselves, so call before visiting.

How can I verify Colette Mark Ellis, MD's license?

Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Colette Mark Ellis, MD's MIPS final score?

The 2023 MIPS final score is 81.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.