DAVID GARTH ELLERTSON JR. MD
NPI 1588657258
Surgery in Gastonia, NC
About David Garth Ellertson Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID GARTH ELLERTSON JR. MD (NPI 1588657258) is an individual surgery provider in Gastonia, North Carolina, licensed in North Carolina (2005-01291) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David Garth Ellertson Jr. 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.
Medicare Billing Reassignments
2Medicare enrollment records show David Ellertson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gastonia, NC 28054
- Reassigned Medicare billing, North Carolina enrollment
- 673 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 3,111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Caromont Regional Medical Center
Acute Care Hospitals · Gastonia, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Ellertson's NPI number?
The NPI number for David Ellertson is 1588657258. It was assigned to this individual provider in the NPPES registry on August 26, 2005.
Where is David Ellertson located?
David Ellertson practices at 2555 Court Dr Ste 450, Gastonia, NC 28054. The listed phone number is (704) 671-7652.
What is David Ellertson's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is David Ellertson enrolled in Medicare?
Yes. David Ellertson 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.
Which organizations bill Medicare for David Ellertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Ellertson reassigns Medicare benefits to 2 organizations: Caromont Medical Group, Inc. (Gastonia, NC) and Ut Physicians (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Ellertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Ellertson accept?
Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list David Ellertson 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 David Ellertson affiliated with any hospitals?
According to CMS data, David Ellertson is affiliated with Caromont Regional Medical Center.
When was this NPI record last updated?
The NPPES record for David Ellertson was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# David Garth Ellertson Jr., MD · NPI 1588657258
Surgery physician in Gastonia, North Carolina. Individual provider, active in the CMS NPPES registry since August 26, 2005.
## Identity
- **NPI:** 1588657258 (Entity type: Individual)
- **Enumerated:** August 26, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 2005-01291 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2555 COURT DR STE 450, Gastonia, NC 28054-2191
- **Phone:** (704) 671-7652 · **Fax:** (704) 671-7656
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Caromont Medical Group, Inc. (NPI 1568643583, Gastonia, NC); Ut Physicians (NPI 1033157821, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** R Franklin University Of Med & Sci/chicago Medical School, class of 1998
## Record status
- **NPPES last updated:** January 27, 2020
- **Other identifiers:** Medicaid 1588657258 (NC)
---
Source: [NPI Profile](https://npiprofile.com/npi/1588657258) · Data from the CMS NPPES public registry.