JOSHUA TODD ELLSWORTH – Physician Assistant, NPI 1073167821
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
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Provider Addresses for JOSHUA TODD ELLSWORTH
51, 3900 South, South Salt Lake, Salt Lake County, Utah, 84107, United States
SALT LAKE CITY, UT 841071431
Phone: (801) 587-2370
Type: Mailing
9208 NW 72ND ST
HESSTON, KS 670626201
Phone: (620) 217-0295
Fax: (580) 596-2805
Type: Mailing
231 S 30TH ST
ENID, OK 737016455
Phone: (580) 596-2800
Fax: (580) 596-2805
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $915.
Total Amount is formed as General ($915) + Research ($0) + Ownership ($0) = $915.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($164).
Total Amount
$915
General + Research + Ownership
Payments
43
Total payment records
General Amount
$915
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-12-29
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 |
|---|---|---|---|---|
| I20221229000594 | I | Physician Assistant | OK | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 19 | 12 | $0 |
Insurance plans in this area (ZIP 84107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OK | |
| Osteopathic Manipulative Medicine, Family Practice | OK | |
| Family Practice | OK | |
| Physician Assistant | OK | |
| Mental Health Counselor | OK | |
| Physician Assistant | KS | |
| Mental Health Counselor | OK | |
| Nurse Practitioner | TX | |
| - | FL | |
| Family Practice, Emergency Medicine | OK |
Reviews
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