Physician

Edward D Ellison, M.D.

According to 2025 Medicare claims, Edward Ellison, M.D. (NPI: 1346375235) practices urology in the Coeur d'Alene, ID market, with the plurality of this provider's patient population coming from Kootenai, ID. This provider's primary affiliated billing organization is NORTH IDAHO UROLOGY, PLLC (NPI: 1891834768; TIN: 82-0533076) and primary practice location at 83814-2668. Ellison is affiliated with the Kootenai Accountable Care, LLC (ACO ID: A3621), participating under the MSSP model.

Ellison's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 673 traditional Medicare patients, billed 14,772 HCPCS/CPT codes, and received $397,360 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 2,033 prescription claims across 360 beneficiaries totaling $5,906,125 in drug costs, led by Xtandi (Enzalutamide). DME data shows 125 claims. Open Payments data shows 55 records totaling $1,335. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $185,243 to $5,906,125. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $436 and ending at $1,074.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	655	6,119	$273,261
2016	683	6,472	$468,504
2017	740	6,420	$386,424
2018	766	12,226	$670,454
2019	838	18,167	$589,522
2020	734	22,689	$437,618
2021	725	16,564	$486,079
2022	691	15,409	$528,262
2023	728	13,402	$616,827
2024	673	14,772	$397,360

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	320	1,436	$185,243
2016	350	1,461	$206,155
2017	343	1,342	$281,572
2018	358	1,572	$1,079,853
2019	389	1,613	$1,109,523
2020	333	1,303	$1,835,957
2021	320	1,354	$2,491,424
2022	383	1,734	$3,917,111
2023	357	1,730	$5,170,393
2024	360	2,033	$5,906,125

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	160	$25,732
2016	N/R	172	$24,564
2017	N/R	234	$36,243
2018	N/R	259	$49,118
2019	N/R	333	$66,437
2020	N/R	228	$49,996
2021	N/R	190	$53,292
2022	30	162	$55,594
2023	11	106	$39,664
2024	N/R	125	$23,729

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	318	483	$126
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	311	$79
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	281	372	$12
81001	Manual urinalysis test with examination using microscope, automated	210	363	$3
81003	Automated urinalysis test	215	285	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xtandi	Enzalutamide	250	7,500	$3,411,444
Orgovyx	Relugolix	526	15,780	$1,355,813
Erleada	Apalutamide	46	1,380	$641,221
Yonsa	Abiraterone Acet,submicronized	17	570	$194,594
Abiraterone Acetate	Abiraterone Acetate	88	2,640	$159,735

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	30	$10,884
A4409	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each	N	N/R	12	$4,593
A4430	Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each	N	N/R	18	$3,597
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	18	$3,497
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	N	N/R	19	$628

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	55	$1,335	Dendreon Pharmaceuticals LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Edward D. Ellison, M.D.?

Tedicare shows public-source Medicare data for Edward D. Ellison, M.D. (NPI 1346375235), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Edward D. Ellison, M.D. have ACO affiliation data?

Edward D. Ellison, M.D. is shown with ACO affiliation data for Kootenai Accountable Care, LLC (MSSP, ACO ID A3621).

What billing organization is linked to Edward D. Ellison, M.D.?

Edward D. Ellison, M.D. is linked to NORTH IDAHO UROLOGY, PLLC (billing NPI 1891834768) in the available physician profile data.

Does Edward D. Ellison, M.D. have Open Payments data?

Edward D. Ellison, M.D. has 55 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.