DR. BRANDON LEE ELLSWORTH MD MSC
NPI 1053014829
Internal Medicine in Chicago, IL

Q: What is Brandon Ellsworth's NPI number?

The NPI number for Brandon Ellsworth is 1053014829. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Brandon Ellsworth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Ellsworth was last updated on May 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 22, 2023PECOS Enrolled

251 EAST HURON STREET, CHICAGO, IL 60611(312) 926-2000 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2023, Mar 22, 2023 (2 updates tracked since 2023).

On this page

About Dr. Brandon Lee Ellsworth Md Msc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDON LEE ELLSWORTH MD MSC (NPI 1053014829) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (1053014829) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053014829

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. BRANDON LEE ELLSWORTHCredential: MD MSC

Location Address251 EAST HURON STREETChicago, IL 60611

Mailing Address251 East Huron StreetChicago, IL 60611 · (312) 926-2000

Phone(312) 926-2000

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateMay 24, 20232 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1053014829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 1053014829

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

251 EAST HURON STREET, Chicago, IL 60611

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brandon Lee Ellsworth Md Msc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.