BRANDON D ELLSWORTH MD
NPI 1689848459
Pathology - Anatomic Pathology & Clinical Pathology in Grand Rapids, MI

Q: What is Brandon Ellsworth's NPI number?

The NPI number for Brandon Ellsworth is 1689848459. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Q: What is Brandon Ellsworth'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 Brandon Ellsworth was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 14, 2008PECOS EnrolledAccepts Medicare Assignment

200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 364-6700 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2021, Jun 1, 2020, Nov 13, 2017 (3 updates tracked since 2017).

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About Brandon D Ellsworth Md NPPES

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

BRANDON D ELLSWORTH MD (NPI 1689848459) is an individual anatomic pathology & clinical pathology provider in Grand Rapids, Michigan, licensed in Michigan (4301102483) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Wyoming.

NPPES Registry Identity

NPI1689848459

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameBRANDON D ELLSWORTHCredential: MD

Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502

Mailing AddressPo Box 1629Lima, OH 45802-1629 · (877) 378-4293 · Fax (419) 223-2726

Phone(616) 364-6700

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2007

Enumeration DateApril 14, 2008

Last NPPES UpdateJuly 14, 20213 updates tracked since enumeration

NPPES CertifiedJuly 14, 2021

✔ NPI 1689848459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code207ZP0102X

License✔ Licensed in MI · 4301102483

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.

200 JEFFERSON AVE SE, Grand Rapids, MI 49503

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Secondary Practice Location 1

Location 15900 Byron Center Ave SWWyoming, MI 49519-9606 · Phone (616) 252-7166

Other Identifiers 1

Medicaid1689848459MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Brandon D 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 ID9133368673

PECOS Enrollment IDI20130613000532

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 13

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.

419 services270 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

409 services265 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.

194 services56 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.

119 services96 patients

Immunologic analysis technique on serum (immunofixation) 86334

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

78 services70 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.

71 services46 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.

41 services39 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.

28 services14 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.

26 services23 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.

22 services19 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

20 services20 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.

16 services15 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.

14 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230059

Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230066

Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County

Emergency services Birthing friendly

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230089

Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

KATHARINE LIND THOMPSON PT

Physical Therapist

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6264

ANNE MARIE TALBOT CRNA

Nurse Anesthetist, Certified Registered

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6063

DR. ADAM MICHAEL ANDERSON MD

Emergency Medicine

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5000

MARIA E DIMUSTO-POORTENGA MD

Pediatrics (Neonatal-Perinatal Medicine)

200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503

Kent County (616) 752-6554

THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER

Durable Medical Equipment & Medical Supplies

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5030

MELISSA SUE HUDECZ MS, OTR/L

Occupational Therapist

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6264

TIMOTHY RUSSELL LEONARD

Nurse Practitioner (Family)

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 465-5910

CAMRIA RENEE DEATON BSN, RN

Registered Nurse

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5000

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 Brandon Ellsworth's NPI number?

The NPI number for Brandon Ellsworth is 1689848459. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Brandon Ellsworth located?

Brandon Ellsworth practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 364-6700.

What is Brandon Ellsworth's specialty?

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

Is Brandon Ellsworth enrolled in Medicare?

Yes. Brandon 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 Brandon Ellsworth accept?

Health plans from Oscar Insurance Company list Brandon 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 Brandon Ellsworth affiliated with any hospitals?

According to CMS data, Brandon Ellsworth is affiliated with Spectrum Health, Mercy Health Saint Mary's, Trinity Health Muskegon Hospital and Beaumont Hospital - Grosse Pointe.

When was this NPI record last updated?

The NPPES record for Brandon Ellsworth was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.