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DR. ELLEN LILLE ELLSWORTH O.D.
NPI 1437297264
Optometrist in Mentor, OH

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment
9930 JOHNNYCAKE RIDGE RD, SUITE 4B, MENTOR, OH 44060(440) 352-8031(440) 352-7671 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ellen Lille Ellsworth O.d. NPPES

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

DR. ELLEN LILLE ELLSWORTH O.D. (NPI 1437297264) is an individual optometrist in Mentor, Ohio, licensed in Ohio (4277 T228) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1991).

NPPES Registry Identity

NPI1437297264
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ELLEN LILLE ELLSWORTHCredential: O.D.
Location Address9930 JOHNNYCAKE RIDGE RD, SUITE 4BMentor, OH 44060-6752
Mailing Address9930 Johnnycake Ridge Rd, Suite 4bMentor, OH 44060-6752 · (440) 352-8031 · Fax (440) 352-7671
Phone(440) 352-8031
Fax(440) 352-7671
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1991
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 2, 2008
✔ NPI 1437297264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 4277 T228
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
9930 JOHNNYCAKE RIDGE RD, Mentor, OH 44060
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Other Identifiers 4

Medicaid0841316OH
Medicare UPINU26681OH
Medicare ID-Type UnspecifiedEL0705253OH
Medicare NSC0971390001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Ellen Lille Ellsworth O.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 ID4880709237
PECOS Enrollment IDI20120113000419
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 2

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.

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.
90 services86 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.
66 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $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 10

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

KHOA HOANG DAC LE
Counselor (Mental Health)
9930 JOHNNYCAKE RIDGE RD
MENTOR, OH 44060
Lake County (216) 972-1588
DR. VICTOR STEVEN GRECO D.D.S.
Dentist (General Practice)
9930 JOHNNYCAKE RIDGE RD, SUITE 1D
MENTOR, OH 44060
Lake County (440) 352-8828
DR. JEFFERY MICHAEL SALERNO D.D.S.
Dentist
9930 JOHNNYCAKE RIDGE RD
CONCORD TWP, OH 44060
Lake County (440) 357-5555
DR. KENNETH MICHAEL SALERNO DDS
Dentist (General Practice)
9930 JOHNNYCAKE RIDGE RD, 1-F
MENTOR, OH 44060
Lake County (440) 357-5555
MR. KEVIN C ROBERTSON AT
Specialist/Technologist (Athletic Trainer)
9930 JOHNNYCAKE RIDGE RD, SUITE 6B
MENTOR, OH 44060
Lake County (440) 357-6677
HORVATH MEDICAL SUPPLY INC
Prosthetist
9930 JOHNNYCAKE RIDGE RD, UNIT 1C
MENTOR, OH 44060
Lake County (440) 357-2371
ELLEN L. ELLSWORTH, OD INC
Optometrist
9930 JOHNNYCAKE RIDGE RD, SUITE 4B
MENTOR, OH 44060
Lake County (440) 352-8031
HORVATH MEDICAL SUPPLY, INC.
Prosthetic/Orthotic Supplier
9930 JOHNNYCAKE RIDGE RD, UNIT 1C
MENTOR, OH 44060
Lake County (440) 357-2371

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 Ellen Ellsworth's NPI number?

The NPI number for Ellen Ellsworth is 1437297264. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Ellen Ellsworth located?

Ellen Ellsworth practices at 9930 Johnnycake Ridge Rd Suite 4B, Mentor, OH 44060. The listed phone number is (440) 352-8031.

What is Ellen Ellsworth's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ellen Ellsworth enrolled in Medicare?

Yes. Ellen 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 Ellen Ellsworth accept?

Health plans from Providence Health Plan list Ellen 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.

When was this NPI record last updated?

The NPPES record for Ellen Ellsworth was last updated on July 2, 2008. 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.