MATTHEW MCKINLEY ELLSWORTH (DPM) – Podiatrist, NPI 1124387618

MATTHEW MCKINLEY ELLSWORTH (DPM) is a healthcare provider. based in Portsmouth, Ohio. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 36.003921 (OH). The NPI Number for MATTHEW MCKINLEY ELLSWORTH (DPM) is 1124387618

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW MCKINLEY ELLSWORTH (DPM)
NPI
1124387618
Phone
(740) 353-8100
Address
2001 Scioto Trl Ste 200
Enumeration Date
3 May 2012
Last Update Date
12 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
2163653528
Group Practice PAC ID
3779707856
Professional Enrollment ID
I20251209000772
Address ID
CO815018209GR2635XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for MATTHEW MCKINLEY ELLSWORTH (DPM)

  • 2001 Scioto Trl Ste 200

    Portsmouth, OH 456622845

    Phone: (740) 353-8100

    Fax: (740) 353-8908

    Type: Location

  • 2483 Highway 644 Ste 103

    Louisa, KY 412309242

    Phone: (606) 638-9954

    Fax: (606) 638-3590

    Type: Location

  • 613 23RD ST STE G30

    ASHLAND, KY 411012881

    Phone: (606) 327-0036

    Fax: (606) 326-1159

    Type: Location

  • PO BOX 2379

    ASHLAND, KY 411052379

    Phone: (606) 408-6200

    Fax: (606) 408-6612

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $152.

Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.

Last reported payment date: 2023-06-22 • Largest payer in this snapshot: Stryker Corporation ($36).

Total Amount

$152

General + Research + Ownership

Payments

8

Total payment records

General Amount

$152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150707002737IPodiatryKYTBD
I20190917003709IPodiatryOHTBD
I20251209000772IPodiatryCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails405152$0
99213Established patient office or other outpatient visit, 20-29 minutes262163$0
99203New patient office or other outpatient visit, 30-44 minutes126126$0
99214Established patient office or other outpatient visit, 30-39 minutes5644$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5444$0
View full utilization report →

Insurance plans in this area (ZIP 45662)

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Provider's Procedures

MATTHEW MCKINLEY ELLSWORTH (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYKY11056Removal of 2 to 4 thickened skin growths3523
PODIATRYKY73630X-ray of foot, minimum of 3 views10167

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779707856View full group profile
NameSpecialtyState
Nephrology, Internal MedicineCO
Internal MedicineTX
Nurse PractitionerCO
-CO
-CO
Cardiovascular Disease (Cardiology)VA
Physician AssistantCO
Physician AssistantWV
Internal MedicineNJ
-CO

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Frequently asked questions

How is MATTHEW MCKINLEY ELLSWORTH (DPM) identified in CMS data?
CMS-hosted NPPES data lists MATTHEW MCKINLEY ELLSWORTH (DPM) with NPI 1124387618.
Does CMS list MATTHEW MCKINLEY ELLSWORTH (DPM) as active?
Yes — MATTHEW MCKINLEY ELLSWORTH (DPM) is active in the NPI listing used on this page.
What is MATTHEW MCKINLEY ELLSWORTH (DPM) best known for clinically?
Directory data describes MATTHEW MCKINLEY ELLSWORTH (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Where is MATTHEW MCKINLEY ELLSWORTH (DPM) based?
MATTHEW MCKINLEY ELLSWORTH (DPM) is tied to Portsmouth, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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