ANDREW R ELLSWORTH MD
NPI 1568690758
Family Medicine in Brookings, SD

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
400 22ND AVE, BROOKINGS, SD 57006(605) 697-9500(605) 697-6939 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew R Ellsworth Md NPPES

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

ANDREW R ELLSWORTH MD (NPI 1568690758) is an individual family medicine provider in Brookings, South Dakota, licensed in South Dakota (8575) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Brookings Health System, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2009).

NPPES Registry Identity

NPI1568690758
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW R ELLSWORTHCredential: MD
Location Address400 22ND AVEBrookings, SD 57006-2497
Mailing Address400 22nd AveBrookings, SD 57006-2497 · (605) 697-9500 · Fax (605) 697-6939
Fax(605) 697-6939
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2009
Enumeration DateJune 25, 2009
Last NPPES UpdateSeptember 19, 2012
NPI 1568690758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SD · 8575
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 22ND AVE, Brookings, SD 57006

Accepted 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

Andrew R Ellsworth Md 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 ID6507015724
PECOS Enrollment IDI20121003000820
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 23

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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
197 services153 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
191 services102 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
170 services100 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
154 services150 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
139 services76 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
98 services42 patients

Hospital Affiliations CMS Care Compare

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

Brookings Health System

Acute Care Hospitals · Brookings, SD
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number430008
Location300 22nd AveBrookings, SD 57006 · Brookings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57006 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers34 claims70 services$4.86 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers28 claims28 services$42.15 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers17 claims17 services$103.82 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers31 claims74 services$36.64 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers18 claims18 services$74.53 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers24 claims24 services$21.89 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.

Clinical Medical Laboratory
400 22ND AVE
BROOKINGS, SD 57006
Podiatrist (Foot & Ankle Surgery)
400 22ND AVE
BROOKINGS, SD 57006
Physician Assistant
400 22ND AVE
BROOKINGS, SD 57006
Family Medicine
400 22ND AVE
BROOKING, SD 57006
Physical Therapist
400 22ND AVE
BROOKINGS, SD 57006
Clinic/Center (Multi-Specialty)
400 22ND AVE
BROOKINGS, SD 57006
Physician Assistant
400 22ND AVE
BROOKINGS, SD 57006
Physical Therapist
400 22ND AVE
BROOKINGS, SD 57006

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 Andrew Ellsworth's NPI number?

The NPI number for Andrew Ellsworth is 1568690758. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Andrew Ellsworth located?

Andrew Ellsworth practices at 400 22nd Ave, Brookings, SD 57006. The listed phone number is (605) 697-9500.

What is Andrew Ellsworth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Ellsworth enrolled in Medicare?

Yes. Andrew 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 Andrew Ellsworth accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Andrew 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 Andrew Ellsworth affiliated with any hospitals?

According to CMS data, Andrew Ellsworth is affiliated with Brookings Health System.

When was this NPI record last updated?

The NPPES record for Andrew Ellsworth was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.