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Active NPI 1437297264 Individual Practitioner Female Practitioner

Dr. Ellen Lille Ellsworth , OD

Optometrist • Mentor, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ellen Ellsworth, OD is a certified Optometrist practicing in Mentor, OH. With approximately 35 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1991, Dr. Ellsworth delivers high-quality medical care to the local community at 9930 JOHNNYCAKE RIDGE RD.

Dr. Ellsworth accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9930 Johnnycake Ridge Rd
Suite 4b

Mentor, OH 440606752

Telephone 4403528031
Fax 4403527671
Associated Practice Facility / Clinic
🏢 Ellen L. Ellsworth, Od Inc Facility NPI 1568642890

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mentor, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +17.9 yrs vs City Avg
City Avg: 17.1 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Mentor, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
11.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellsworth (35 Years) 35 Yrs
Mentor Specialty Average (17.1 Years) 17.1 Yrs

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
90 86 $80.06 $79.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
66 63 $70.00 $53.06

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4277 T228

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0841316 (OH)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Khoa Hoang Dac Le

Counselor - Mental Health

NPI 1164221610
Dr. Victor Greco , DDS

Dentist - General Practice

NPI 1225241367

Doctor of Dental Surgery

Dr. Kenneth Salerno , DDS

Dentist - General Practice

NPI 1457338097

Doctor of Dental Surgery

Kevin Robertson , AT

Specialist/Technologist - Athletic Trainer

NPI 1477757904
Amanda Cheravitch

Counselor - Mental Health

NPI 1891305900
Dr. Bryan Philip , DDS

Dentist - General Practice

NPI 1912191735

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 02, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2008

Registered at 9930 JOHNNYCAKE RIDGE RD, SUITE 4B, MENTOR, OH 440606752 (Tel: 4403528031)

📍
Updated Business Mailing Address July 02, 2008

Registered at 9930 JOHNNYCAKE RIDGE RD, SUITE 4B, MENTOR, OH 440606752 (Tel: 4403528031)

👤
Provider Name / Credentials Updated July 02, 2008

Recorded as ELLEN ELLSWORTH, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2008

Optometrist (License #4277 T228 in OH)

🟢
Initial NPI Registration & Enumeration February 02, 2007

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: 1437297264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2007
Last Update: July 02, 2008
Sole Proprietor: No

Mailing Address

9930 Johnnycake Ridge Rd, Suite 4b

Mentor, OH 440606752

Phone: 4403528031

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.