MR. DAVID GARTH ELLERTSON SR. M.D.
NPI 1912964495
Surgery - Vascular Surgery in Modesto, CA
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
Specialties & Licenses
Other Identifiers 3
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).
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.
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.
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.
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.
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.