1. Home
  2. Directory
  3. Texas
  4. Katy
  5. Family Medicine
  6. NPI Profile

DR. DONALD ELLSWORTH M.D.
NPI 1659600161
Family Medicine in Katy, TX

Active since December 11, 2009Opted out of Medicare · through Jan 1, 2028
20214 BRAIDWOOD DR, SUITE 215, KATY, TX 77450(281) 579-3600(281) 579-2467 Get Directions Write a Review

NPPES record last updated: December 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Donald Ellsworth M.d. NPPES

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

DR. DONALD ELLSWORTH M.D. (NPI 1659600161) is an individual family medicine provider in Katy, Texas, licensed in Texas (L6874) and active in the NPI registry since December 2009. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1659600161
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DONALD ELLSWORTHCredential: M.D.
Location Address20214 BRAIDWOOD DR, SUITE 215Katy, TX 77450-2138
Mailing Address20214 Braidwood Dr, Suite 215Katy, TX 77450-2138 · (281) 579-3600 · Fax (281) 579-2467
Phone(281) 579-3600
Fax(281) 579-2467
Sole ProprietorNo
Enumeration DateDecember 11, 2009
✔ NPI 1659600161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L6874
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.
20214 BRAIDWOOD DR, Katy, TX 77450
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Donald Ellsworth M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2012 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2012
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77450 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
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier24 claims24 services$35.36 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 3

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

PREMIER PHARMACY INTERNATIONAL, LP
Pharmacist
20214 BRAIDWOOD DR, SUITE 140
KATY, TX 77450
Harris County (281) 828-9088
DEBBIE JANEK RN, FNP
Family Medicine
20214 BRAIDWOOD DR, SUITE 215
KATY, TX 77450
Harris County (281) 579-3600
AMBER LEE LITTLER PA-C
Physician Assistant (Medical)
20214 BRAIDWOOD DR, SUITE 215
KATY, TX 77450
Harris County (281) 579-3600

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 Donald Ellsworth's NPI number?

The NPI number for Donald Ellsworth is 1659600161. It was assigned to this individual provider in the NPPES registry on December 11, 2009.

Where is Donald Ellsworth located?

Donald Ellsworth practices at 20214 Braidwood Dr Suite 215, Katy, TX 77450. The listed phone number is (281) 579-3600.

What is Donald Ellsworth's specialty?

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

Is Donald Ellsworth enrolled in Medicare?

No. Donald Ellsworth has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Donald Ellsworth was last updated on December 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.