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DR. STEVEN ELLSWORTH M.D.
NPI 1780771675
Specialist in Odessa, TX

Active since October 10, 2006Opted out of Medicare · through Jan 26, 2028
5000 E UNIVERSITY BLVD STE 6, ODESSA, TX 79762(432) 550-5525(432) 362-4594 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Steven Ellsworth M.d. NPPES

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

DR. STEVEN ELLSWORTH M.D. (NPI 1780771675) is an individual specialist in Odessa, Texas, licensed in Texas (G5021) and active in the NPI registry since October 2006. He has opted out of Medicare through January 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780771675
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. STEVEN ELLSWORTHCredential: M.D.
Location Address5000 E UNIVERSITY BLVD STE 6Odessa, TX 79762-8149
Mailing Address5000 E University Blvd Ste 6Odessa, TX 79762-8149 · (432) 550-5525 · Fax (432) 362-4594
Phone(432) 550-5525
Fax(432) 362-4594
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780771675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · G5021
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5000 E UNIVERSITY BLVD STE 6, Odessa, TX 79762
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Steven 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 26, 2016 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2016
Opt-Out In Effect ThroughJanuary 26, 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.

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 Steven Ellsworth's NPI number?

The NPI number for Steven Ellsworth is 1780771675. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Steven Ellsworth located?

Steven Ellsworth practices at 5000 E University Blvd Ste 6, Odessa, TX 79762. The listed phone number is (432) 550-5525.

What is Steven Ellsworth's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Steven Ellsworth enrolled in Medicare?

No. Steven Ellsworth has opted out of Medicare through January 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Steven Ellsworth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.