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CHARLES PAUL ELLSWORTH DO
NPI 1780786707
Family Medicine in Flint, MI

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
5103 W PIERSON RD, FLINT, MI 48504(810) 733-7503(810) 733-5368 Get Directions Write a Review

NPPES record last updated: October 22, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Charles Paul Ellsworth Do NPPES

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

CHARLES PAUL ELLSWORTH DO (NPI 1780786707) is an individual family medicine provider in Flint, Michigan, licensed in Michigan (5101015196) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Genesys Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1780786707
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES PAUL ELLSWORTHCredential: DO
Location Address5103 W PIERSON RDFlint, MI 48504-1395
Mailing Address5103 W Pierson RdFlint, MI 48504-1395 · (810) 733-7503 · Fax (810) 733-5368
Phone(810) 733-7503
Fax(810) 733-5368
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 1, 2006
Last NPPES UpdateOctober 22, 2011
✔ NPI 1780786707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101015196
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.
5103 W PIERSON RD, Flint, MI 48504
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Other Identifiers 12

Other0992950MI · Health Plus Of Michigan
Medicare PING36111118MI
Other1780786707MN · Molina Healthcare Of Michigan
Medicaid1780786707MI
Other080G3610660MI · Michigan Blue Cross Blue Shield
Other381908328-446MN · Care Source Of Michigan
Other381908328MI · Hcap
Other19870MI · Health Plan Of Michigan
Medicare UPINH58292MI
Other1051020MO · Mclaren Health Plan
Other080G310660MI · Blue Care Network Of Michigan
Other178241MN · Great Lakes Health Plan/united Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Charles Paul Ellsworth Do 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 ID4981507662
PECOS Enrollment IDI20040129000995
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
260 services101 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
82 services82 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services12 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Genesys Hospital

Acute Care Hospitals · Grand Blanc, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230197
LocationOne Genesys ParkwayGrand Blanc, MI 48439 · Genesee County
Emergency services Birthing friendly

Aspirus Ironwood Hospital

Critical Access Hospitals · Ironwood, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number231333
LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48504 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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 suppliers44 claims108 services$6.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers21 claims26 services$1.11 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$13.20 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers41 claims41 services$56.98 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$123.17 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 6

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

DR. SAMUEL JOHN SALEM DDS
Dentist
5103 W PIERSON RD
FLINT, MI 48504
Genesee County (810) 733-2750
MRS. STEPHANIE MARIE JOHNSON MA,CCC-SLP
Speech-Language Pathologist
5103 W PIERSON RD, SUITE #3
FLINT, MI 48504
Genesee County (810) 423-1076
BETHANY GREEN LMSW
Social Worker (School)
5103 W PIERSON RD, SUITE 3
FLINT, MI 48504
Genesee County (810) 391-2923
MS. TIMETRICE ANISHA BENSON FNP-BC
Nurse Practitioner (Family)
5103 W PIERSON RD
FLINT, MI 48504
Genesee County (810) 212-0605
OAKTREE COMMUNITY & SOCIAL GROWTH
Case Management
5103 W PIERSON RD
FLINT, MI 48504
Genesee County (810) 391-2923
YVONNE WILLIAMS OTR
Occupational Therapist
5103 W PIERSON RD
FLINT, MI 48504
Genesee County (810) 730-2225

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 Charles Ellsworth's NPI number?

The NPI number for Charles Ellsworth is 1780786707. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Charles Ellsworth located?

Charles Ellsworth practices at 5103 W Pierson Rd, Flint, MI 48504. The listed phone number is (810) 733-7503.

What is Charles Ellsworth's specialty?

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

Is Charles Ellsworth enrolled in Medicare?

Yes. Charles 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 Charles Ellsworth accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Charles 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 Charles Ellsworth affiliated with any hospitals?

According to CMS data, Charles Ellsworth is affiliated with Ascension Genesys Hospital and Aspirus Ironwood Hospital.

When was this NPI record last updated?

The NPPES record for Charles Ellsworth was last updated on October 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.