DR. DEREK ELLINGSON D.O.
NPI 1487848644
Pathology - Anatomic Pathology & Clinical Pathology in Fort Wayne, IN

Q: What is Derek Ellingson's NPI number?

The NPI number for Derek Ellingson is 1487848644. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Q: What is Derek Ellingson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Derek Ellingson was last updated on August 25, 2021. 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.

Active since August 30, 2007PECOS EnrolledAccepts Medicare Assignment

73.51/100

CMS Quality Rating

7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 435-7001 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2021, Jun 30, 2020, May 20, 2020 (3 updates tracked since 2020).

On this page

About Dr. Derek Ellingson D.o. NPPES

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

DR. DEREK ELLINGSON D.O. (NPI 1487848644) is an individual anatomic pathology & clinical pathology provider in Fort Wayne, Indiana, licensed in Indiana (02006527A) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2007).

NPPES Registry Identity

NPI1487848644

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. DEREK ELLINGSONCredential: D.O.

Location Address7950 W JEFFERSON BLVDFort Wayne, IN 46804-4140

Mailing Address1010 Airpark Center DrNashville, TN 37217-5200 · (615) 221-4400

Phone(260) 435-7001

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2007

Enumeration DateAugust 30, 2007

Last NPPES UpdateAugust 25, 20213 updates tracked since enumeration

NPPES CertifiedAugust 25, 2021

✔ NPI 1487848644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in IN · 02006527A✔ Licensed in MO · 2007018750✔ Licensed in AK · MEDO7423✔ Licensed in IA · DO05260

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

7950 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Moda Health Plan, Inc..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. Derek Ellingson D.o. 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 ID7012134034

PECOS Enrollment IDI20240926004487, I20241112001028

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 17

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,179 services605 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

526 services100 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

204 services184 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

144 services89 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

84 services78 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

82 services71 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

52 services22 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

51 services47 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

51 services19 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

42 services30 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

29 services21 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

22 services19 patients

Cell examination of specimen, concentration technique 88108

Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.

21 services17 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

21 services17 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

20 services20 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

19 services19 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500027

Location747 BroadwaySeattle, WA 98122 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.83

Improvement Activities

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.

DR. ANURADHA G BOMMAKANTI M.D.

Internal Medicine (Critical Care Medicine)

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-7001

VANESKA BOTTINO DA COSTA M.D.

Pediatrics (Pediatric Critical Care Medicine)

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-7001

MISS JACQUELINE SHEPARD

Physician Assistant

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-7001

EMERGENCY PROFESSIONALS OF INDIANA, P.C.

Emergency Medicine

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-2699

PAMELA THOMAS MD

Pediatrics

7950 W JEFFERSON BLVD, SUITE 210
FORT WAYNE, IN 46804

Allen County (260) 432-2297

DR. AHDY MESSIHA M.D.

Radiology (Diagnostic Radiology)

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 432-1568

LESLIE LEINS PHARMD

Pharmacist (Emergency Medicine)

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-7734

GORDON HENRY BOKHART PHARM D.

Pharmacist

7950 W JEFFERSON BLVD, RESEARCH DEPARTMENT
FORT WAYNE, IN 46804

Allen County (260) 435-7718

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 Derek Ellingson's NPI number?

The NPI number for Derek Ellingson is 1487848644. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Derek Ellingson located?

Derek Ellingson practices at 7950 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 435-7001.

What is Derek Ellingson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Derek Ellingson enrolled in Medicare?

Yes. Derek Ellingson 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 Derek Ellingson accept?

Health plans from CareSource and Moda Health Plan, Inc. list Derek Ellingson 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 Derek Ellingson affiliated with any hospitals?

According to CMS data, Derek Ellingson is affiliated with Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Ellingson was last updated on August 25, 2021. 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.