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BRYAN ELLERTSON MD
NPI 1881989143
Pediatrics in Layton, UT

Active since June 15, 2011PECOS Enrolled
2121 N 1700 W, LAYTON, UT 84041(801) 773-4840(801) 525-8151 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bryan Ellertson Md NPPES

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

BRYAN ELLERTSON MD (NPI 1881989143) is an individual pediatrics provider in Layton, Utah, licensed in Utah (89635601205) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881989143
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBRYAN ELLERTSONCredential: MD
Location Address2121 N 1700 WLayton, UT 84041-8803
Mailing AddressPo Box 337Layton, UT 84041-0337 · (801) 773-4840 · Fax (801) 525-8151
Phone(801) 773-4840
Fax(801) 525-8151
Sole ProprietorNo
Enumeration DateJune 15, 2011
Last NPPES UpdateDecember 8, 2015
✔ NPI 1881989143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 89635601205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2121 N 1700 W, Layton, UT 84041
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Ellertson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Bryan Ellertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tanner Memorial Clinic
Same address
Internal Medicine
2121 N 1700 W
Layton, UT 84041
  • Reassigned Medicare billing, Utah enrollment
  • 270 clinicians in this Medicare group
NPI 1447239355 (801) 773-4840

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84041 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

KHALDOUN M AL-RAYESS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2121 N 1700 W
LAYTON, UT 84041
Davis County (801) 773-4840
ASPEN RIDGE PHYSICAL THERAPY, LLC
Specialist
2121 N 1700 W, SUITE A
LAYTON, UT 84041
Davis County (801) 773-1350
ROBERT L MELLOR MD
Otolaryngology
2121 N 1700 W
LAYTON, UT 84041
Davis County (801) 773-4840
DR. ANN LINGARD PHARMD
Pharmacy (Community/Retail Pharmacy)
2121 N 1700 W
LAYTON, UT 84041
Davis County (801) 773-5666
M&B HOMECARE INC.
Home Health
2121 N 1700 W, SUITE A
LAYTON, UT 84041
Davis County (801) 825-2081
MR. MITCH SMEDING WANGSGARD
Audiologist
2121 N 1700 W
LAYTON, UT 84041
Davis County (801) 773-4840
BRIDGER BARRETT BENTLEY PA
Physician Assistant
2121 N 1700 W
LAYTON, UT 84041
Davis County (801) 773-4840
NORMAN C. BOS M.D.
Orthopaedic Surgery
2121 N 1700 W
LAYTON, UT 84041
Davis County (801) 773-4840

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 Bryan Ellertson's NPI number?

The NPI number for Bryan Ellertson is 1881989143. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Bryan Ellertson located?

Bryan Ellertson practices at 2121 N 1700 W, Layton, UT 84041. The listed phone number is (801) 773-4840.

What is Bryan Ellertson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bryan Ellertson enrolled in Medicare?

Yes. Bryan Ellertson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bryan Ellertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Ellertson reassigns Medicare benefits to Tanner Memorial Clinic (Layton, UT). The 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 Bryan Ellertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Ellertson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and BridgeSpan Health Company and 4 other insurers list Bryan 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.

When was this NPI record last updated?

The NPPES record for Bryan Ellertson was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.