MR. DAVID GARTH ELLERTSON SR. M.D.
NPI 1912964495
Surgery - Vascular Surgery in Modesto, CA

Active since April 27, 2006PECOS Enrolled
77.73/100
CMS Quality Rating
4101 TULLY RD, SUITE 101, MODESTO, CA 95356(209) 524-8346(209) 524-7723 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David Garth Ellertson Sr. M.d. NPPES

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

MR. DAVID GARTH ELLERTSON SR. M.D. (NPI 1912964495) is an individual vascular surgery provider in Modesto, California, licensed in California (G17987) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912964495
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameMR. DAVID GARTH ELLERTSON SR.Credential: M.D.
Location Address4101 TULLY RD, SUITE 101Modesto, CA 95356-8980
Mailing Address4101 Tully Rd, Suite 101Modesto, CA 95356-8980 · (209) 524-8346 · Fax (209) 524-7723
Fax(209) 524-7723
Sole ProprietorYes
Enumeration DateApril 27, 2006
Last NPPES UpdateFebruary 12, 2015
NPI 1912964495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · G17987
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
4101 TULLY RD, Modesto, CA 95356

Other Identifiers 3

Other20014578CA · Medicare Id
Medicare PIN00G179870CA
Medicare UPINA40243CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. David Garth Ellertson Sr. M.d. 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.

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 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.
492 services93 patients
Application of vein wound compression bandages on lower leg, ankle, and foot 29581
Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.
189 services37 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
24 services24 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
24 services24 patients
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.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.94
Improvement Activities40
Cost29.85

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.

Dentist
4101 TULLY RD, SUITE 201
MODESTO, CA 95356
Dentist
4101 TULLY RD
MODESTO, CA 95356
Dentist (General Practice)
4101 TULLY RD, SUITE 601
MODESTO, CA 95356

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 David Ellertson's NPI number?

The NPI number for David Ellertson is 1912964495. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is David Ellertson located?

David Ellertson practices at 4101 Tully Rd Suite 101, Modesto, CA 95356. The listed phone number is (209) 524-8346.

What is David Ellertson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is David Ellertson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for David Ellertson was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.