RYAN SCOTT ELLSWORTH (DPM) – Foot Surgery Podiatrist, NPI 1104130574
Foot Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PODIATRY in UT
Provider Addresses for RYAN SCOTT ELLSWORTH (DPM)
227 N Westwood Blvd
Price, UT 845015500
Phone: (801) 253-6886
Fax: (801) 253-6888
Type: Location
12780 Race Track Rd Ste 417
Tampa, FL 336261395
Phone: (813) 535-7707
Fax: (801) 253-6888
Type: Location
9980 S 300 W STE 300
SANDY, UT 840703654
Phone: (801) 273-0001
Fax: (801) 253-6888
Type: Mailing
505 FAIRBURN RD SW STE 100
ATLANTA, GA 303312012
Phone: (404) 618-6077
Fax: (801) 253-6888
Type: Location
4019 W 12600 S STE 120
RIVERTON, UT 840967405
Phone: (801) 253-6886
Fax: (801) 253-6888
Type: Mailing
2019 E Riverside Dr Ste A101
St George, UT 847908147
Phone: (801) 253-6886
Fax: (801) 253-6888
Type: Location
12523 S Creek Meadow Rd Ste 105
Riverton, UT 840657299
Phone: (801) 253-6886
Fax: (801) 253-6888
Type: Location
3355 N University Ave Ste 175
Provo, UT 846046620
Phone: (801) 253-6886
Fax: (801) 253-6888
Type: Location
770 S Highway 99
Fillmore, UT 846315033
Phone: (801) 253-6886
Fax: (801) 253-6888
Type: Location
3130 S Highland Dr Ste B4
Salt Lake City, UT 841063095
Phone: (801) 253-6886
Fax: (801) 253-6888
Type: Location
95 White Sage Ave Ste C
Delta, UT 846245555
Phone: (801) 253-6886
Fax: (801) 253-6888
Type: Location
4019 W 12600 S
Suite 120
Riverton, UT 84096
Phone: (801) 253-6886
Fax: (801) 253-6888
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $229.
Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($66).
Total Amount
$229
General + Research + Ownership
Payments
11
Total payment records
General Amount
$229
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $66 |
| Averitas Pharma Inc. | $36 |
| Nevro Corp. | $23 |
| Anika Therapeutics, Inc. | $23 |
| Horizon Therapeutics plc | $23 |
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: 2024-07-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130429000536 | I | Podiatry | UT | TBD |
| I20210203002196 | I | Podiatry | GA | TBD |
| I20240724003884 | I | Podiatry | FL | 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 |
|---|---|---|---|---|
| Q4204 | Xwrap, per square centimeter | 3,730 | 31 | $0 |
| Q4250 | Amnioamp-mp, per square centimeter | 2,678 | 27 | $0 |
| Q4248 | Dermacyte amniotic membrane allograft, per square centimeter | 1,665 | 25 | $0 |
| Q4259 | Celera dual layer or celera dual membrane, per square centimeter | 470 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 361 | 118 | $0 |
Insurance plans in this area (ZIP 84501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | CA | |
| P O D I A T R Y | UT | |
| Nurse Practitioner | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | AK |
Reviews
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