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Charles Paul Ellsworth

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NPI Number Detailed Information

Provider Information:

Name: Charles Paul Ellsworth
Gender: M
Provider License Number If Given: 5101015196

NPI Information:

NPI: 1780786707
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/1/2006

Last Update Date: 12/9/2014

Reputation Report:

Provider Business Mailing Address:

Address: 3495 S CENTER RD
Burton, MI 48519
Phone Number: 8104242011
Fax Number: 8102494037

Provider Business Practice Location Address:

Address: 7057 N CLIO RD
Mount Morris, MI 48458
Phone Number: 8106700200
Fax Number: 8106700196

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: MI

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About Charles Paul Ellsworth

Charles Paul Ellsworth ( CHARLES PAUL ELLSWORTH ) is Family Family Medicine Physician in Mount Morris, MI. The NPI Number for Charles Paul Ellsworth is 1780786707.
The current location address for Charles Paul Ellsworth is 7057 N CLIO RD Mount Morris, MI 48458 and the contact number is 8104242011 and fax number is 8102494037. The mailing address for Charles Paul Ellsworth is 3495 S CENTER RD Burton, MI 48519- 8106700200 (mailing address contact number - 8104242011).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Charles Paul Ellsworth ?


Answer: The NPI Number for Charles Paul Ellsworth is 1780786707

Where is Charles Paul Ellsworth located?


Answer: Charles Paul Ellsworth is located at 7057 N CLIO RD Mount Morris, MI 48458.

What is the specialty for Charles Paul Ellsworth ?


Answer: The Specialty of Charles Paul Ellsworth is Family Family Medicine Physician.

Are there any online reviews for Charles Paul Ellsworth ?


Answer: Yes! Check It Now.

Are there any other health care providers in Mount Morris, MI?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Charles Paul Ellsworth

Number of HCPCS 25
Number of Medicare Beneficiaries 141
Number of Services 561
Total Submitted Charge Amount 89961
Total Medicare Allowed Amount 52614.88
Total Medicare Payment Amount 37894.56
Total Medicare Standardized Payment Amount 39917.92
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 27
Number of Drug Services 30
Total Drug Submitted Charge Amount 2198
Total Drug Medicare Allowed Amount 1639.44
Total Drug Medicare Payment Amount 1635.76
Total Drug Medicare Standardized Payment Amount 1602.93
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 21
Number of Medicare Beneficiaries With Medical 141
Number of Medical Services 531
Total Medical Submitted Charge Amount 87763
Total Medical Medicare Allowed Amount 50975.44
Total Medical Medicare Payment Amount 36258.8
Total Medical Medicare Standardized Payment Amount 38314.99
Average Age of Beneficiaries 67
Number of Beneficiaries Age Less 65 45
Number of Beneficiaries Age 65 to 74 59
Number of Beneficiaries Age 75 to 84 26
Number of Beneficiaries Age Greater 84 11
Number of Female Beneficiaries 82
Number of Male Beneficiaries 59
Number of Non-Hispanic White Beneficiaries 97
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 44
Number of Beneficiaries With Medicare Only Entitlement 97
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.11
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.09
Percent (%) of Beneficiaries Identified With Heart Failure 0.13
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.35
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.16
Percent (%) of Beneficiaries Identified With Depression 0.21
Percent (%) of Beneficiaries Identified With Diabetes 0.38
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.49
Percent (%) of Beneficiaries Identified With Hypertension 0.62
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.33
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.31
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.521

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 10217
Number of Standardized 30-Day Fills 17257.266667
Aggregate Cost Paid for All Claims 663334.66
Number of Day's Supply for All Claims 496349
Number of Medicare Beneficiaries 423
Number of Claims, Including Refills, for Beneficiaries Age 65+ 7125
Including Refills, for Beneficiaries Age 65+ 13249.9
Beneficiaries Age 65+ 462209.02
Number of Day's Supply for All Claims for Beneficaries Age 65+ 384990
Number of Medicare Beneficiaries Age 65+ 330
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1145
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 8916
Aggregate Cost Paid for Generic Drugs 189704.19
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 156
Aggregate Cost Paid for Other Drugs 6646.58
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 4092
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 260311.08
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 6125
Aggregate Cost Paid for Claims Filled by 403023.58
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 4221
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 296210.64
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 5996
by Low-Income Subsidy 367124.02
Total Claims of Opioid Drugs, Including 1257
Aggregate Cost Paid for Opioid Drugs 37758.58
Opioid Claims 136
Opioid_Tot_Clms divided by the Tot_Clms 12.303024371
Total Claims of Long-Acting Opioid Drugs 118
Aggregate Cost Paid for Long-Acting Opioid 11211.69
Number of Day's Supply of All Long-Acting 3452
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 9.3874303898
Total Claims of Antibiotic Drugs, Including 261
Aggregate Cost Paid for Antibiotic Drugs 2111.27
Antibiotic Claims 111
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 18
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 128.9
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 69.186761229
Number of Beneficiaries Age Less Than 65 93
Number of Beneficiaries Age 65 to 74 207
Number of Beneficiaries Age 75 to 84 94
Number of Female Beneficiaries 227
Number of Male Beneficiaries 196
Number of Non-Hispanic White 271
Number of Black or African American 133
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 12
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 310
Average Hierarchical Condition Category 1.3908033064

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