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MS. RACHEL JOY ELLSWORTH M.D
NPI 1336393479
Colon & Rectal Surgery in Houston, TX

Active since November 14, 2008PECOS EnrolledAccepts Medicare Assignment
18400 KATY FWY, SUITE 560, HOUSTON, TX 77094(832) 522-3240(281) 578-2404 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2022, Oct 20, 2017, Jan 16, 2017 (3 updates tracked since 2017).

About Ms. Rachel Joy Ellsworth M.d NPPES

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

MS. RACHEL JOY ELLSWORTH M.D (NPI 1336393479) is an individual colon & rectal surgery provider in Houston, Texas, licensed in Texas (N1878) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of University Of Maryland School Of Medicine (2006).

NPPES Registry Identity

NPI1336393479
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameMS. RACHEL JOY ELLSWORTHCredential: M.D
Location Address18400 KATY FWY, SUITE 560Houston, TX 77094-1286
Mailing Address18400 Katy Fwy, Suite 560Houston, TX 77094-1286 · (832) 522-3240 · Fax (281) 578-2404
Phone(832) 522-3240
Fax(281) 578-2404
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2006
Enumeration DateNovember 14, 2008
Last NPPES UpdateFebruary 4, 20223 updates tracked since enumeration
✔ NPI 1336393479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in TX · N1878
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TMB PIT# (TX)
18400 KATY FWY, Houston, TX 77094
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Other Identifiers 4

Medicaid342229701TX
Other8GD754TX · Bcbs
Medicaid342229702TX
Other8EQ602TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Rachel Joy Ellsworth M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446472872
PECOS Enrollment IDI20141119000668
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
56 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services39 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
44 services34 patients
Diagnostic exam of rectum and lower large bowel using an endoscope 45300
This procedure, known as a sigmoidoscopy, involves using a thin, flexible instrument called an endoscope to examine your lower large bowel and rectum. This helps in identifying any abnormalities or issues that could affect your digestive health.
34 services33 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Medical Center

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450659
Location1313 Hermann DrHouston, TX 77004 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77094 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers15 claims305 services$7.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MIGUEL A GOMEZ MD PA
Surgery (Vascular Surgery)
18400 KATY FWY, STE 480
HOUSTON, TX 77094
Harris County (832) 260-0500
GREEN TRAILS FAMILY PRACTICE, P.A.
Family Medicine (Adult Medicine)
18400 KATY FWY, SUITE 405
HOUSTON, TX 77094
Harris County (281) 492-8400
TAM THI THANH HUYNH M.D.
Surgery (Vascular Surgery)
18400 KATY FWY, MEDICAL OFFICE BLDG, SUITE 640
HOUSTON, TX 77094
Harris County (832) 522-8600
ANNA D HENRY AU.D.
Audiologist
18400 KATY FWY, STE 470
HOUSTON, TX 77094
Harris County (281) 492-7827
MS. SARAH TOUPS YOUNG PA-C
Physician Assistant
18400 KATY FWY, SUITE 690
HOUSTON, TX 77094
Harris County (832) 522-8600
DAVID AARON HAYNES MD
Otolaryngology
18400 KATY FWY
HOUSTON, TX 77094
Harris County (281) 347-6700
ELITE WOMEN'S CARE CENTER PA
Obstetrics & Gynecology
18400 KATY FWY, SUITE 400
HOUSTON, TX 77094
Harris County (281) 579-9900
CHINEMEREM FRED ABANONU MD
Internal Medicine (Medical Oncology)
18400 KATY FWY, MEDICAL OFFICE BUILDING 1, SUITE 220
KATY, TX 77094
Harris County (832) 522-8521

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 Rachel Ellsworth's NPI number?

The NPI number for Rachel Ellsworth is 1336393479. It was assigned to this individual provider in the NPPES registry on November 14, 2008.

Where is Rachel Ellsworth located?

Rachel Ellsworth practices at 18400 Katy Fwy Suite 560, Houston, TX 77094. The listed phone number is (832) 522-3240.

What is Rachel Ellsworth's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Rachel Ellsworth enrolled in Medicare?

Yes. Rachel Ellsworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rachel Ellsworth accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Rachel Ellsworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rachel Ellsworth affiliated with any hospitals?

According to CMS data, Rachel Ellsworth is affiliated with Houston Methodist Hospital and Hca Houston Healthcare Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Ellsworth was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.