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DAVID ALAN ELLSWORTH DDS
NPI 1184804221
Dentist - General Practice in Petoskey, MI

Active since November 06, 2007PECOS Enrolled
523 W JEFFERSON ST, PETOSKEY, MI 49770(231) 347-8899 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Alan Ellsworth Dds NPPES

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

DAVID ALAN ELLSWORTH DDS (NPI 1184804221) is an individual general practice provider in Petoskey, Michigan, licensed in Michigan (18740) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184804221
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDAVID ALAN ELLSWORTHCredential: DDS
Location Address523 W JEFFERSON STPetoskey, MI 49770-2271
Mailing Address523 W Jefferson StPetoskey, MI 49770-2271 · (231) 347-8899
Phone(231) 347-8899
Sole ProprietorYes
Enumeration DateNovember 6, 2007
✔ NPI 1184804221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 18740
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
523 W JEFFERSON ST, Petoskey, MI 49770
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Alan Ellsworth Dds 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 49770 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARBOR POINTE DENTAL
Dentist
523 W JEFFERSON ST
PETOSKEY, MI 49770
Emmet County (231) 347-8899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Ellsworth's NPI number?

The NPI number for David Ellsworth is 1184804221. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Where is David Ellsworth located?

David Ellsworth practices at 523 W Jefferson St, Petoskey, MI 49770. The listed phone number is (231) 347-8899.

What is David Ellsworth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is David Ellsworth enrolled in Medicare?

Yes. David Ellsworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Ellsworth was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.