Dr. Kevin Mark Ellsworth , OD
Optometrist • Logan, UT
Professional Overview & Biography Verified Profile Summary
Dr. Kevin Ellsworth, OD is a certified Optometrist practicing in Logan, UT. With approximately 41 years of clinical experience since graduating from Southern California College Of Optometry in 1985, Dr. Ellsworth delivers high-quality medical care to the local community at 395 E 1400 N.
Dr. Ellsworth accepts Medicare assignment.
Frequently performed procedures and clinical services include photography of the retina, established patient complete exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
395 E 1400 N
Suite B
Logan, UT 843417573
Medicare Profile & Education
Southern California College Of Optometry
1985
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Optometrist in Logan, UT
Practicing in Logan, UT (484 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
92250
Photography of the retina
|
113 | 112 | $75.00 | $34.84 |
|
92014
Established patient complete exam of visual system
|
86 | 85 | $124.00 | $118.55 |
|
92004
New patient complete exam of visual system
|
26 | 26 | $154.00 | $140.28 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 152W00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 395 E 1400 N, SUITE B, LOGAN, UT 843417573 (Tel: 4357525585)
Registered at 395 E 1400 N, SUITE B, LOGAN, UT 843417573 (Tel: 4357525585)
Recorded as KEVIN ELLSWORTH, O.D.
Optometrist (License #112376-9934 in UT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
395 E 1400 N, Suite B
Logan, UT 843417573
Phone: 4357525585
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