BRANDON D ELLSWORTH (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1689848459
Anatomic Pathology & Clinical Pathology Physician
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NPPES metrics only — not quality of care.
573 PATHOLOGY in MI
Provider Addresses for BRANDON D ELLSWORTH (MD)
5900 Byron Center Ave SW
Wyoming, MI 495199606
Phone: (616) 252-7166
Type: Location
Lima, Pellegrini, Villa Rosa, Partido del Pilar, Buenos Aires, B1629 PILAR, Argentina
LIMA, OH 458021629
Phone: (877) 378-4293
Fax: (419) 223-2726
Type: Mailing
Mercy Health Saint Mary's, 200, Jefferson Avenue Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States
GRAND RAPIDS, MI 495034502
Phone: (616) 364-6700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130613000532 | I | Pathology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 342 | 208 | $0 |
| 84165 | Protein measurement, serum | 312 | 203 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 128 | 50 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 105 | 86 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 80 | 54 | $0 |
Insurance plans in this area (ZIP 49519)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | MI | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 31 | 29 |
| PATHOLOGY | MI | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 156 | 95 |
| PATHOLOGY | MI | 88342 | Tissue or cell analysis by immunologic technique | 136 | 115 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI |
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