Active NPI 1336470343 Individual Practitioner Male Practitioner

Dr. Warren Aldrich Ellsworth , MD

Plastic Surgery • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Warren Ellsworth, MD is a certified Plastic Surgery practicing in Houston, TX. With approximately 22 years of clinical experience since graduating from Baylor College Of Medicine in 2004, Dr. Ellsworth delivers high-quality medical care to the local community at 6560 FANNIN ST.

Dr. Ellsworth is affiliated with Tmh Physicians And Surgeons, Pllc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

6560 Fannin St
Suite 2200

Houston, TX 770302761

Telephone 7134418082

Fax 7137905020

Associated Practice Facility / Clinic

🏢 Cardioscan, Inc. Facility NPI 1760483630

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +2.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 29.2 Yrs

Regional Practice Density

109 Specialists

Practicing in Houston, TX (399 Statewide)

Telehealth Adoption Rate

5.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellsworth (22 Years) 22 Yrs

Houston Specialty Average (19.8 Years) 19.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$206.66	$91.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$491.68	$169.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$491.68	$172.46
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$206.66	$93.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$206.66	$95.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$491.68	$174.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$206.66	$78.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$344.18	$112.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$491.68	$170.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$491.68	$167.49
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$206.66	$73.71
19318 Breast reduction	14	14	$14537.55	$1057.35
19366 Plastic surgery to reconstruct breast	13	12	$14090.24	$1366.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$491.68	$166.94
19366 Plastic surgery to reconstruct breast	16	14	$13568.38	$1190.45
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$206.66	$73.94
19318 Breast reduction	14	14	$14991.85	$986.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$491.68	$156.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$161.73	$42.64
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$206.66	$71.61

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License TX N4396

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield

1336470343 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

8EJ452 (TX)

Commercial Insurance / Payer ID Medicare Rr

P00947675 (TX)

Hospital & Practice Group Affiliations

Tmh Physicians And Surgeons, Pllc

6560 Fannin St, Houston, TX 770302715

Phone: 7134416106

Practice Associates & Co-Workers

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

40 Associated Practitioners

Janet Attisha , RN, ACNP

Nurse Practitioner

NPI 1003091083

Registered Nurse, ACNP

Dr. Tien Wong , MD

Ophthalmology

NPI 1003914151

Doctor of Medicine (M.D.)

Dr. Olga Waln , MD

Psychiatry & Neurology - Neurology

NPI 1013133768

Doctor of Medicine (M.D.)

Dr. Kevin Grimes , MD

Internal Medicine - Infectious Disease

NPI 1023137494

Doctor of Medicine (M.D.)

Dr. Michael Coselli , MD

Surgery

NPI 1033128988

Doctor of Medicine (M.D.)

Dr. William Obenour , MD

Internal Medicine

NPI 1043203987

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2014

Registered at 6560 FANNIN ST, SUITE 2200, HOUSTON, TX 770302761 (Tel: 7134418082)

📍

Updated Business Mailing Address July 07, 2014

Registered at 6560 FANNIN ST, SUITE 2200, HOUSTON, TX 770302761 (Tel: 7134418082)

👤

Provider Name / Credentials Updated July 07, 2014

Recorded as WARREN ELLSWORTH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2014

Plastic Surgery (License #N4396 in TX)

🟢

Initial NPI Registration & Enumeration January 15, 2010

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: 1336470343

Entity Type:

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

Enumeration Date: January 15, 2010

Last Update: July 07, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6560 Fannin St, Suite 2200

Houston, TX 770302761

Phone: 7134418082

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.