Kenneth Robert Ellison, PA
Medical Physician Assistant · Fort Walton Beach, FL
Kenneth Robert Ellison, PA is a medical physician assistant with a practice address in Fort Walton Beach, Florida, and NPI 1831122803, issued on Jul 10, 2006. Check the license (Florida 9106823, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Kenneth Robert Ellison
- Credential
- PA
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 9106823 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1032 Mar Walt Dr, Fort Walton Beach, FL 32547
- Phone
- (850) 863-3463
- Enumerated
- Jul 10, 2006
- Record last updated
- Jan 14, 2022
- Fax
- (850) 315-6051
- Medicare enrollment
- Enrolled (PECOS I20121114000369); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 2,776 in Florida → Look up another NPI →
Also registered at 1032 Mar Walt Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kenneth Robert Ellison in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license 9106823Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
99% fewer Medicare Part D claims than the average medical physician assistant in 2024
15 Medicare Part D claims for 11 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $129.32
1 payment: food and beverage; the largest payer was Abbott Laboratories. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Emerald Coast Infectious Diseases Medical Group, P.A.Fort Walton Beach, FL
- White-Wilson Medical Center PAFort Walton Beach, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kenneth Robert Ellison among 2,776 medical physician assistant records in Florida
Kenneth Robert Ellison, PA is one of 2,776 medical physician assistant records with a practice address in Florida. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.
- NPI issued2006 · 6% of these records are older, 74% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 46% of these records are
- Graduated2002 · median 2013 among the 1,278 with a school on file
- Record last updated2022 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in Florida
There are 2,776 medical physician assistant records in Florida.
All 2,776 in Florida → Every provider in Fort Walton Beach → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Michelle Adkins, PA-CFort Walton Beach, FL 325471265722920
- Jon Cox, PAFort Walton Beach, FL 325471306301528
- Megan Hardy, PA-CFort Walton Beach, FL 325471215698691
- Courtney McGee, PAFort Walton Beach, FL 325471740539535
- Gary Mousseau, PA-CFort Walton Beach, FL 325471861593956
- Marcos Otero, PA-CFort Walton Beach, FL 325481336138072
- Steve Switzer, PA-CFort Walton Beach, FL 325481003878356
- Wesley Bowen, PAMiramar Beach, FL 325501740530898
Common questions
What is Kenneth Robert Ellison, PA's NPI number?
Kenneth Robert Ellison, PA's National Provider Identifier (NPI) is 1831122803, issued on Jul 10, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Robert Ellison, PA located?
The NPPES record lists a practice address at 1032 Mar Walt Dr, Fort Walton Beach, FL, 32547. Phone: (850) 863-3463. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Robert Ellison, PA's license?
NPPES lists Florida license number 9106823, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kenneth Robert Ellison, PA prescribe under Medicare Part D?
In 2024, Kenneth Robert Ellison, PA had 15 Medicare Part D claims for 11 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.
What is Kenneth Robert Ellison, PA's MIPS final score?
The 2023 MIPS final score is 100 of 100. 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.