Ryan Scott Ellsworth, DPM - Medicare Podiatrist in Atlanta, GA

Ryan Scott Ellsworth, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Atlanta, Georgia. He went to Kent State University College Of Podiatric Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Ellsworth Foot And Ankle Clinic and his current practice location is 505 Fairburn Rd Sw Ste 100, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 618-6077.

Ryan Scott Ellsworth is licensed to practice in Utah (license number 8400193-0501) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1104130574.

Contact Information

Ryan Scott Ellsworth, DPM
505 Fairburn Rd Sw Ste 100,
Atlanta, GA 30331-2012
(404) 618-6077
(801) 253-6888

Map and Direction




Healthcare Provider's Profile

Full NameRyan Scott Ellsworth
GenderMale
SpecialityPodiatry
Experience14 Years
Location505 Fairburn Rd Sw Ste 100, Atlanta, Georgia
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ryan Scott Ellsworth attended and graduated from Kent State University College Of Podiatric Medicine in 2010
  NPI Data:
  • NPI Number: 1104130574
  • Provider Enumeration Date: 07/28/2010
  • Last Update Date: 06/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678719135
  • Enrollment ID: I20130429000536

Medical Identifiers

Medical identifiers for Ryan Scott Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104130574NPI-NPPES
1003111MedicaidUT
8400193-0501OtherUTUT DPM LICENSE
7672880001OtherUTDME
E5797OtherCACA DPM LICENSE
POD001473OtherGAGA DPM LICENSE
PO4406OtherFLFL DPM LICENSE
2109OtherNVNV DPM LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 2109 (Nevada)Secondary
213E00000XPodiatrist E5797 (California)Secondary
213E00000XPodiatrist PO4406 (Florida)Secondary
213E00000XPodiatrist POD001473 (Georgia)Secondary
213EP1101XPodiatrist - Primary Podiatric Medicine 8400193-0501 (Utah)Secondary
213ER0200XPodiatrist - Radiology 8400193-0501 (Utah)Secondary
213ES0000XPodiatrist - Sports Medicine 8400193-0501 (Utah)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 8400193-0501 (Utah)Secondary
213ES0131XPodiatrist - Foot Surgery 8400193-0501 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ryan Scott Ellsworth allows following entities to bill medicare on his behalf.
Provider NameSummit Medical Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881216646
PECOS PAC ID: 7416345673
Enrollment ID: O20211021000925
Provider NameEllsworth Foot And Ankle Clinic
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1942549795
PECOS PAC ID: 2062778160
Enrollment ID: O20211110001673
Provider NameAmble Medical
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134865595
PECOS PAC ID: 2365821220
Enrollment ID: O20220623000525

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Scott Ellsworth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ryan Scott Ellsworth, DPM
9980 S 300 W Ste 300,
Sandy, UT 84070-3654

Ph: (801) 273-0001
Ryan Scott Ellsworth, DPM
505 Fairburn Rd Sw Ste 100,
Atlanta, GA 30331-2012

Ph: (404) 618-6077

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.