Active NPI 1912964495 Individual Practitioner Male Practitioner

Dr. David Garth Ellertson , MD

Surgery - Vascular Surgery • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. David Ellertson, MD is a registered healthcare professional specializing in Surgery - Vascular Surgery in Modesto, CA. Practice services are available at 4101 TULLY RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, application of vein wound compression bandages on lower leg, ankle, and foot, ultrasound study of arm or leg veins with compression and maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4101 Tully Rd
Suite 101

Modesto, CA 953568980

Telephone 2095248346

Fax 2095247723

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Modesto, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.0 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Modesto, CA (610 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

19.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	492	93	$125.00	$91.88
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	189	37	$220.00	$113.95
93970 Ultrasound study of arm or leg veins with compression and maneuvers	24	24	$210.82	$196.79
93925 Ultrasound of leg arteries or artery grafts	24	24	$277.22	$253.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	13	$140.00	$129.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	874	134	$125.00	$92.31
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	355	64	$220.00	$117.25
93970 Ultrasound study of arm or leg veins with compression and maneuvers	37	37	$210.82	$199.23
93925 Ultrasound of leg arteries or artery grafts	37	37	$277.22	$256.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$205.00	$169.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$140.00	$130.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,446	172	$125.00	$93.73
G0277 Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval	930	12	$150.00	$148.65
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	712	92	$220.00	$113.29
99183 Management and supervision of oxygen chamber therapy per session	216	12	$600.00	$107.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	55	$140.00	$133.14
93970 Ultrasound study of arm or leg veins with compression and maneuvers	51	51	$210.82	$203.47
93925 Ultrasound of leg arteries or artery grafts	51	51	$277.22	$263.36
97597 Removal of tissue from wound, 20.0 sq cm or less	47	25	$115.00	$108.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$205.00	$170.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0277 Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval	2,065	19	$150.00	$150.00
99213 Established patient office or other outpatient visit, typically 15 minutes	1,035	156	$125.00	$95.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	676	142	$140.00	$134.89
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	675	99	$220.00	$116.39
99183 Management and supervision of oxygen chamber therapy per session	465	19	$600.00	$110.01
93970 Ultrasound study of arm or leg veins with compression and maneuvers	69	68	$210.82	$210.82
93925 Ultrasound of leg arteries or artery grafts	68	67	$277.22	$274.32
97597 Removal of tissue from wound, 20.0 sq cm or less	64	32	$115.00	$107.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	916	155	$140.00	$113.85
99183 Management and supervision of oxygen chamber therapy per session	669	22	$600.00	$113.38
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	532	90	$220.00	$119.12
99213 Established patient office or other outpatient visit, typically 15 minutes	266	74	$125.78	$78.61
93970 Ultrasound study of arm or leg veins with compression and maneuvers	76	75	$233.81	$209.29
93925 Ultrasound of leg arteries or artery grafts	44	44	$277.22	$274.40
97597 Removal of tissue from wound, 20.0 sq cm or less	42	21	$115.00	$103.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$248.00	$111.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99183 Management and supervision of oxygen chamber therapy per session	505	18	$600.00	$110.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	409	137	$140.00	$111.95
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	182	70	$220.00	$118.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$248.00	$108.24
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	61	40	$240.21	$124.92
93970 Ultrasound study of arm or leg veins with compression and maneuvers	52	51	$386.33	$201.79
99213 Established patient office or other outpatient visit, typically 15 minutes	34	26	$151.00	$74.66
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	18	17	$950.00	$435.98
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	18	18	$3000.00	$1416.95
97597 Removal of tissue from wound, 20.0 sq cm or less	17	13	$115.00	$94.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	94	$121.25	$74.20
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	109	47	$208.44	$111.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	51	$140.00	$110.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$248.03	$106.88
93970 Ultrasound study of arm or leg veins with compression and maneuvers	55	55	$405.00	$201.78
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	54	35	$250.00	$122.03
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	22	20	$2972.73	$1493.08
37765 Multiple incisions for removal of varicose veins of arm or leg, 10-20 incisions	18	18	$950.00	$396.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	68	46	$250.00	$123.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$248.00	$107.68
99213 Established patient office or other outpatient visit, typically 15 minutes	54	44	$151.00	$71.95
93970 Ultrasound study of arm or leg veins with compression and maneuvers	52	51	$405.00	$196.53
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	31	26	$3000.00	$1555.83

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License CA G17987

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Id

20014578 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Wesley Wong , DDS

Dentist

NPI 1083984942

Doctor of Dental Surgery

Dr. Nasrin Ergash , DMD

Dentist

NPI 1376901371

Doctor of Dental Medicine

Dr. Linda Chen , DMD

Dentist - General Practice

NPI 1700983301

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 12, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 12, 2015

Registered at 4101 TULLY RD, SUITE 101, MODESTO, CA 953568980 (Tel: 2095248346)

📍

Updated Business Mailing Address February 12, 2015

Registered at 4101 TULLY RD, SUITE 101, MODESTO, CA 953568980 (Tel: 2095248346)

👤

Provider Name / Credentials Updated February 12, 2015

Recorded as DAVID ELLERTSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2015

Surgery (License #G17987 in CA)

🟢

Initial NPI Registration & Enumeration April 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912964495

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 27, 2006

Last Update: February 12, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4101 Tully Rd, Suite 101

Modesto, CA 953568980

Phone: 2095248346

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.