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Deactivated NPI 1063412518 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Hamilton Ellsworth , MD

Orthopaedic Surgery • Putnam, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Ellsworth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 27, 2005
NPI Deactivation Date December 06, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Ellsworth, MD was a registered Orthopaedic Surgery practicing in Putnam, CT. Throughout an active medical career spanning 18 years, Dr. Ellsworth provided care at the practice location at 255 POMFRET ST until profile deactivation on 2023-12-06.

Historical Medicare Part B clinical services included initial nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

255 Pomfret St

Putnam, CT 062601853

Telephone 8609287939
Fax 8609284587
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Putnam, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Putnam, CT (374 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.9% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
117 117 $269.00 $129.13
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
20 20 $153.00 $44.34

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CT 014465

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 06, 2023

Record deactivated on December 06, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 255 POMFRET ST, PUTNAM, CT 062601853 (Tel: 8609287939)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 456, PUTNAM, CT 062600456 (Tel: 8609287939)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL ELLSWORTH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #014465 in CT)

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Initial NPI Registration & Enumeration July 27, 2005

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: 1063412518
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2005
Last Update: July 08, 2007
Deactivation Date: December 06, 2023

Mailing Address

Po Box 456

Putnam, CT 062600456

Phone: 8609287939

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

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