Active NPI 1083619043 Individual Practitioner Male Practitioner

Dr. John Bryan Ellsworth , MD

Urology • St George, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Ellsworth, MD is a certified Urology practicing in St George, UT. With approximately 35 years of clinical experience since graduating from University Of Nevada School Of Medicine in 1991, Dr. Ellsworth delivers high-quality medical care to the local community at 736 S 900 E STE 108.

Dr. Ellsworth maintains professional affiliations with Summit Healthcare Medical Associates, Pinnacle Health Medical Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, testosterone cypionate, 1 mg, injection, onabotulinumtoxina, 1 unit, established 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

736 S 900 E Ste 108

St George, UT 84790

Telephone 4356283606

Fax 4356288404

Associated Practice Facility / Clinic

🏢 Urology Associates, Llc Facility NPI 1952436826

Medicare Profile & Education

Medical School

University Of Nevada School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in St George, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +11.6 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

7 Specialists

Practicing in St George, UT (112 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellsworth (35 Years) 35 Yrs

St George Specialty Average (23.4 Years) 23.4 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
J1071 Injection, testosterone cypionate, 1 mg	33,971	19	$0.32	$0.02
J0585 Injection, onabotulinumtoxina, 1 unit	2,000	11	$13.00	$6.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	829	566	$153.51	$122.94
81002 Urinalysis, manual test	448	272	$9.38	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	431	345	$133.26	$87.53
J0696 Injection, ceftriaxone sodium, per 250 mg	375	92	$10.00	$0.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	349	131	$35.81	$13.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	236	236	$135.15	$105.64
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	214	26	$650.00	$177.95
52000 Diagnostic exam of bladder and urethra using an endoscope	203	167	$350.74	$222.41
36415 Insertion of needle into vein for collection of blood sample	181	158	$10.00	$8.60
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	132	90	$30.11	$22.04
51705 Removal of skin suture with change of bladder tube	130	21	$139.08	$92.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	125	111	$207.60	$173.53
76872 Ultrasound scan of pelvic region through rectum	99	96	$227.53	$127.50
76775 Limited ultrasound scan behind abdominal cavity	93	77	$70.00	$56.00
J2250 Injection, midazolam hydrochloride, per 1 mg	89	28	$5.00	$0.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	89	86	$76.40	$54.10
55700 Biopsy of prostate gland	89	86	$262.25	$224.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	80	$68.72	$53.52
J1580 Injection, garamycin, gentamicin, up to 80 mg	64	30	$15.47	$2.49
52332 Insertion of stent in urinary duct (ureter) using an endoscope	50	39	$326.40	$105.88
51702 Simple insertion of temporary bladder tube	44	16	$107.05	$59.36
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	39	26	$57.82	$33.77
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	36	29	$65.69	$34.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$202.76	$160.77
51700 Simple bladder irrigation and/or instillation	28	13	$110.39	$69.07
52356 Crushing of stone of ureter with insertion of stent using an endoscope	25	23	$540.00	$399.52
50590 Shock wave crushing of kidney stones	24	20	$950.00	$546.53
52287 Exam with injections of chemical for destruction of bladder using an endoscope	20	11	$425.00	$362.17
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	19	19	$890.00	$694.36
52001 Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope	16	16	$408.13	$241.47
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	15	15	$2500.00	$1531.15
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	14	14	$539.29	$299.58
52281 Dilation of bladder canal (urethra) using an endoscope	13	13	$465.38	$306.02
51798 Ultrasound measurement of bladder capacity after voiding	12	11	$19.83	$10.37
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$130.91	$69.34
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	11	11	$455.00	$245.49
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	11	11	$355.00	$87.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	34,203	19	$0.32	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	647	480	$153.06	$122.54
81002 Urinalysis, manual test	551	328	$9.01	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	523	410	$139.53	$87.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	328	121	$36.56	$13.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	302	302	$136.56	$106.87
J0696 Injection, ceftriaxone sodium, per 250 mg	277	69	$10.00	$0.51
36415 Insertion of needle into vein for collection of blood sample	261	214	$9.34	$7.90
52000 Diagnostic exam of bladder and urethra using an endoscope	248	189	$351.81	$225.37
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	192	23	$650.00	$172.54
J2250 Injection, midazolam hydrochloride, per 1 mg	150	49	$5.00	$0.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	126	112	$202.30	$171.37
51705 Removal of skin suture with change of bladder tube	108	20	$150.19	$91.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	99	$68.08	$53.74
76775 Limited ultrasound scan behind abdominal cavity	104	87	$70.00	$56.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	98	70	$30.87	$22.06
J1580 Injection, garamycin, gentamicin, up to 80 mg	75	35	$17.13	$2.72
76872 Ultrasound scan of pelvic region through rectum	71	69	$225.00	$128.23
55700 Biopsy of prostate gland	69	68	$260.00	$228.28
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	69	68	$75.00	$55.28
51700 Simple bladder irrigation and/or instillation	60	12	$107.00	$72.08
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	57	50	$66.32	$34.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$203.82	$161.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	44	35	$326.14	$135.64
51702 Simple insertion of temporary bladder tube	41	16	$103.90	$59.24
55875 Insertion of needle or tube into prostate for radiation therapy	41	20	$1200.00	$741.19
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	35	23	$58.57	$32.88
50590 Shock wave crushing of kidney stones	28	27	$985.71	$562.06
55874 Injection of biodegradable material next to prostate	27	27	$4666.67	$2694.99
52281 Dilation of bladder canal (urethra) using an endoscope	23	19	$450.00	$308.51
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	17	$537.50	$411.32
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	18	17	$347.78	$221.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$150.00	$124.85
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	14	14	$2500.00	$1565.66
52005 Insertion of tube into ureter using an endoscope through bladder area	13	12	$344.23	$66.66
51720 Instillation of anti-cancer drug into bladder	12	11	$120.00	$20.88
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	12	12	$491.67	$287.59
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$163.64	$71.64
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$110.00	$79.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	40,900	16	$0.30	$0.03
J9030 Bcg live intravesical instillation, 1 mg	3,450	14	$5.72	$2.80
81002 Urinalysis, manual test	593	319	$7.41	$3.43
99213 Established patient office or other outpatient visit, typically 15 minutes	586	462	$134.72	$89.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	515	391	$152.82	$124.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	463	214	$32.78	$13.82
J0696 Injection, ceftriaxone sodium, per 250 mg	380	91	$10.00	$0.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	285	285	$138.53	$107.37
36415 Insertion of needle into vein for collection of blood sample	284	239	$5.11	$2.96
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	238	30	$655.46	$177.33
52000 Diagnostic exam of bladder and urethra using an endoscope	233	173	$338.20	$233.67
J1580 Injection, garamycin, gentamicin, up to 80 mg	168	119	$15.24	$1.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	158	144	$68.80	$54.69
51700 Simple bladder irrigation and/or instillation	119	19	$99.97	$73.46
J2250 Injection, midazolam hydrochloride, per 1 mg	116	44	$5.00	$0.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	95	$200.00	$175.53
76775 Limited ultrasound scan behind abdominal cavity	99	90	$70.00	$56.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	96	71	$29.17	$22.14
76872 Ultrasound scan of pelvic region through rectum	96	93	$224.82	$131.35
55700 Biopsy of prostate gland	84	84	$262.38	$230.66
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	84	84	$76.49	$55.46
51705 Removal of skin suture with change of bladder tube	82	13	$142.11	$94.29
52332 Insertion of stent in urinary duct (ureter) using an endoscope	56	43	$314.73	$112.14
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	49	30	$56.73	$32.52
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	48	45	$65.52	$36.50
51702 Simple insertion of temporary bladder tube	46	21	$107.50	$61.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$197.78	$163.53
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$126.00	$71.85
50590 Shock wave crushing of kidney stones	42	36	$950.00	$547.99
55875 Insertion of needle or tube into prostate for radiation therapy	28	14	$1200.00	$746.48
51798 Ultrasound measurement of bladder capacity after voiding	24	23	$20.00	$9.73
55874 Injection of biodegradable material next to prostate	19	19	$4000.00	$2803.15
52005 Insertion of tube into ureter using an endoscope through bladder area	17	16	$301.47	$69.03
52281 Dilation of bladder canal (urethra) using an endoscope	17	15	$450.00	$316.97
52240 Destruction and/or removal of large growth of bladder using an endoscope	17	14	$580.88	$363.19
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	17	17	$2558.82	$1575.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$150.00	$129.19
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	15	14	$425.00	$304.30
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	14	$526.67	$410.74
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	15	14	$340.33	$161.17
51720 Instillation of anti-cancer drug into bladder	14	14	$120.00	$20.95
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	14	12	$330.00	$193.11
76705 Limited ultrasound scan of abdomen	13	13	$104.00	$85.05
52276 Incision of the bladder canal (urethra) using an endoscope	12	12	$295.00	$221.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	42,650	21	$0.31	$0.03
J0585 Injection, onabotulinumtoxina, 1 unit	1,400	11	$13.00	$6.07
99213 Established patient office or other outpatient visit, typically 15 minutes	796	553	$112.02	$90.53
81002 Urinalysis, manual test	658	386	$8.72	$3.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	640	296	$32.60	$13.63
J1580 Injection, garamycin, gentamicin, up to 80 mg	347	221	$15.69	$1.80
J0696 Injection, ceftriaxone sodium, per 250 mg	336	84	$10.00	$0.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	277	229	$152.87	$126.33
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	237	25	$650.00	$180.24
36415 Insertion of needle into vein for collection of blood sample	224	185	$5.20	$2.96
52000 Diagnostic exam of bladder and urethra using an endoscope	224	164	$273.91	$224.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	219	219	$140.58	$110.46
J2250 Injection, midazolam hydrochloride, per 1 mg	161	53	$5.00	$0.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	143	$69.52	$54.73
99202 New patient office or other outpatient visit, typically 20 minutes	152	152	$117.83	$71.83
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	113	78	$31.37	$22.34
51700 Simple bladder irrigation and/or instillation	96	20	$103.44	$76.20
76872 Ultrasound scan of pelvic region through rectum	78	78	$201.08	$127.99
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	74	74	$83.04	$54.55
55700 Biopsy of prostate gland	73	73	$270.96	$239.69
51702 Simple insertion of temporary bladder tube	58	23	$99.57	$62.94
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	58	53	$64.74	$39.04
76775 Limited ultrasound scan behind abdominal cavity	49	47	$73.67	$56.77
51798 Ultrasound measurement of bladder capacity after voiding	45	41	$19.89	$9.60
52332 Insertion of stent in urinary duct (ureter) using an endoscope	44	32	$325.57	$131.08
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	44	24	$56.36	$32.20
55875 Insertion of needle or tube into prostate for radiation therapy	43	21	$1232.56	$757.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	34	$195.00	$173.71
50590 Shock wave crushing of kidney stones	34	28	$1000.00	$532.08
76705 Limited ultrasound scan of abdomen	29	27	$107.17	$87.58
55874 Injection of biodegradable material next to prostate	26	26	$4019.23	$3014.16
51741 Electronic assessment of bladder emptying	18	18	$22.22	$7.52
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	17	17	$2394.12	$1654.61
52281 Dilation of bladder canal (urethra) using an endoscope	17	16	$450.00	$323.69
51701 Insertion of temporary bladder tube	16	15	$63.19	$44.50
52005 Insertion of tube into ureter using an endoscope through bladder area	15	14	$279.33	$71.87
52276 Incision of the bladder canal (urethra) using an endoscope	15	13	$295.00	$213.21
51797 Insertion of device into abdomen with pressure and urine flow rate study	15	15	$210.53	$167.65
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	15	15	$94.00	$29.84
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	15	15	$390.67	$334.66
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$110.00	$97.91
52287 Exam with injections of chemical for destruction of bladder using an endoscope	14	11	$410.00	$374.54
52283 Steroid injection into bladder canal (urethra) stricture using an endoscope	13	13	$285.77	$109.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$183.15	$164.70
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	11	11	$429.55	$355.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	42,602	26	$0.28	$0.03
99213 Established patient office or other outpatient visit, typically 15 minutes	707	515	$94.06	$75.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	650	283	$31.03	$13.96
81002 Urinalysis, manual test	514	274	$8.60	$3.43
J1580 Injection, garamycin, gentamicin, up to 80 mg	367	199	$15.74	$1.93
J0696 Injection, ceftriaxone sodium, per 250 mg	304	72	$10.00	$0.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	244	$129.11	$106.81
52000 Diagnostic exam of bladder and urethra using an endoscope	220	158	$226.39	$205.80
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	205	23	$650.00	$221.58
36415 Insertion of needle into vein for collection of blood sample	202	170	$5.12	$2.97
99202 New patient office or other outpatient visit, typically 20 minutes	152	152	$123.16	$75.55
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	128	76	$30.51	$22.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$140.94	$107.73
J2250 Injection, midazolam hydrochloride, per 1 mg	121	39	$5.00	$0.12
51702 Simple insertion of temporary bladder tube	99	28	$87.88	$60.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	55	$51.72	$44.67
51798 Ultrasound measurement of bladder capacity after voiding	55	45	$21.08	$9.73
76872 Ultrasound scan of pelvic region through rectum	53	53	$165.25	$135.30
55700 Biopsy of prostate gland	52	52	$263.65	$241.41
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	52	52	$198.75	$55.39
52332 Insertion of stent in urinary duct (ureter) using an endoscope	51	40	$325.98	$112.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	45	$177.20	$145.12
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	44	40	$61.36	$37.84
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	40	24	$53.13	$31.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$211.51	$165.29
50590 Shock wave crushing of kidney stones	37	28	$975.68	$589.77
55875 Insertion of needle or tube into prostate for radiation therapy	34	15	$2000.00	$781.76
76705 Limited ultrasound scan of abdomen	31	30	$112.90	$85.24
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	26	26	$2030.77	$1738.31
76775 Limited ultrasound scan behind abdominal cavity	22	22	$108.86	$57.47
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	20	18	$302.50	$169.18
51741 Electronic assessment of bladder emptying	17	17	$22.35	$8.83
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	15	$487.50	$400.16
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	14	14	$407.14	$315.98
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	14	13	$357.86	$241.28
74420 Imaging of urinary tract	13	13	$50.00	$25.63
51797 Insertion of device into abdomen with pressure and urine flow rate study	13	13	$170.77	$153.41
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$203.00	$33.36
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	13	13	$373.08	$341.85
52276 Incision of the bladder canal (urethra) using an endoscope	12	12	$295.00	$259.16
52005 Insertion of tube into ureter using an endoscope through bladder area	12	12	$285.00	$81.07
52001 Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope	11	11	$414.09	$245.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	55,401	29	$0.29	$0.03
J0585 Injection, onabotulinumtoxina, 1 unit	1,401	13	$12.79	$6.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	755	325	$31.79	$15.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	705	504	$132.65	$103.79
81002 Urinalysis, manual test	522	318	$7.97	$3.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	418	350	$169.32	$137.86
J1580 Injection, garamycin, gentamicin, up to 80 mg	409	240	$15.67	$1.77
J0696 Injection, ceftriaxone sodium, per 250 mg	360	88	$10.00	$0.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	248	248	$136.22	$102.98
36415 Insertion of needle into vein for collection of blood sample	242	187	$5.13	$2.91
52000 Diagnostic exam of bladder and urethra using an endoscope	241	185	$216.95	$175.56
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	220	25	$655.91	$225.58
99213 Established patient office or other outpatient visit, typically 15 minutes	212	184	$83.85	$69.87
J2250 Injection, midazolam hydrochloride, per 1 mg	162	54	$5.01	$0.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	140	88	$30.25	$21.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$195.02	$156.50
51702 Simple insertion of temporary bladder tube	96	30	$83.59	$58.08
76872 Ultrasound scan of pelvic region through rectum	66	64	$128.56	$115.81
55700 Biopsy of prostate gland	61	61	$258.36	$232.40
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	61	61	$198.20	$53.02
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	55	52	$60.55	$35.62
52332 Insertion of stent in urinary duct (ureter) using an endoscope	44	33	$331.25	$114.46
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	42	24	$53.14	$29.16
51798 Ultrasound measurement of bladder capacity after voiding	38	31	$20.00	$11.53
53854 Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy	35	34	$1940.00	$1677.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$145.00	$131.11
52281 Dilation of bladder canal (urethra) using an endoscope	26	17	$325.00	$280.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$50.08	$42.32
52276 Incision of the bladder canal (urethra) using an endoscope	25	25	$327.60	$233.57
52283 Steroid injection into bladder canal (urethra) stricture using an endoscope	25	23	$290.00	$113.97
51741 Electronic assessment of bladder emptying	24	24	$20.00	$8.24
50590 Shock wave crushing of kidney stones	24	22	$985.42	$539.92
76705 Limited ultrasound scan of abdomen	20	18	$104.00	$83.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$80.74	$69.54
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	18	$203.00	$31.94
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	18	18	$350.00	$311.27
52005 Insertion of tube into ureter using an endoscope through bladder area	18	16	$278.33	$53.94
51797 Insertion of device into abdomen with pressure and urine flow rate study	18	18	$140.00	$128.29
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$890.00	$716.04
52287 Exam with injections of chemical for destruction of bladder using an endoscope	16	14	$400.00	$318.09
76775 Limited ultrasound scan behind abdominal cavity	15	15	$115.00	$54.42
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	15	14	$320.00	$157.75
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	14	13	$469.64	$214.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$41.00	$37.72
74420 Imaging of urinary tract	13	13	$50.00	$24.70
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$484.62	$426.63
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	13	12	$330.00	$226.90
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	12	12	$357.50	$134.52
52001 Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope	12	11	$422.92	$263.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	49,677	27	$0.29	$0.03
J0696 Injection, ceftriaxone sodium, per 250 mg	1,348	277	$10.00	$0.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	788	365	$31.84	$19.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	660	483	$125.88	$105.58
81002 Urinalysis, manual test	563	316	$8.02	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	410	326	$87.70	$71.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	357	287	$169.66	$142.01
52000 Diagnostic exam of bladder and urethra using an endoscope	289	227	$220.69	$160.27
J1580 Injection, garamycin, gentamicin, up to 80 mg	250	117	$16.24	$1.44
36415 Insertion of needle into vein for collection of blood sample	243	183	$5.10	$2.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	229	229	$134.16	$106.21
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	178	21	$650.00	$214.83
J2250 Injection, midazolam hydrochloride, per 1 mg	177	48	$5.00	$0.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	158	91	$29.38	$20.92
51702 Simple insertion of temporary bladder tube	115	27	$83.48	$61.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$197.62	$160.91
76872 Ultrasound scan of pelvic region through rectum	76	75	$137.12	$90.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	65	$50.11	$42.04
55700 Biopsy of prostate gland	66	66	$267.42	$236.88
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	66	66	$206.82	$56.76
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	50	48	$60.60	$43.65
52332 Insertion of stent in urinary duct (ureter) using an endoscope	48	42	$303.54	$100.65
51798 Ultrasound measurement of bladder capacity after voiding	41	33	$20.95	$14.50
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$122.38	$74.89
52281 Dilation of bladder canal (urethra) using an endoscope	35	31	$303.31	$267.79
51741 Electronic assessment of bladder emptying	35	33	$22.31	$10.34
50590 Shock wave crushing of kidney stones	34	26	$975.00	$564.18
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	34	21	$46.74	$29.92
55875 Insertion of needle or tube into prostate for radiation therapy	27	12	$2000.00	$773.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$145.00	$135.53
52005 Insertion of tube into ureter using an endoscope through bladder area	25	21	$294.80	$64.62
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	23	23	$203.00	$33.77
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	23	23	$350.00	$305.82
51797 Insertion of device into abdomen with pressure and urine flow rate study	23	23	$140.00	$109.04
52630 Removal of remaining or regrown prostate tissue with control of bleeding using an endoscope	22	19	$495.00	$362.48
76775 Limited ultrasound scan behind abdominal cavity	22	21	$119.32	$56.00
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	22	21	$415.91	$198.65
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	20	20	$945.50	$739.92
52276 Incision of the bladder canal (urethra) using an endoscope	19	18	$313.68	$226.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	15	$76.00	$72.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$41.00	$38.83
53899 Other procedure on urinary system	17	17	$3000.00	$1789.85
99238 Hospital discharge day management, 30 minutes or less	16	14	$79.69	$71.93
52283 Steroid injection into bladder canal (urethra) stricture using an endoscope	16	16	$308.44	$101.26
52281 Dilation of bladder canal (urethra) using an endoscope	16	14	$347.63	$130.84
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$106.00	$100.32
52344 Endoscope of the bladder, urethra and ureter to treat a stricture of ureter	11	11	$401.82	$343.16
52001 Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope	11	11	$436.36	$215.88
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$450.00	$424.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	33,851	24	$0.26	$0.02
J0696 Injection, ceftriaxone sodium, per 250 mg	1,237	254	$10.00	$0.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	659	472	$122.75	$101.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	551	291	$29.62	$23.38
81002 Urinalysis, manual test	486	261	$7.30	$3.43
99213 Established patient office or other outpatient visit, typically 15 minutes	465	351	$85.71	$69.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	237	237	$131.34	$103.15
52000 Diagnostic exam of bladder and urethra using an endoscope	225	183	$215.93	$153.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	213	183	$159.30	$137.36
36415 Insertion of needle into vein for collection of blood sample	196	160	$5.10	$2.92
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	146	16	$650.00	$207.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	135	76	$23.67	$18.83
51702 Simple insertion of temporary bladder tube	123	34	$87.20	$57.64
J1580 Injection, garamycin, gentamicin, up to 80 mg	89	38	$17.02	$1.51
J2250 Injection, midazolam hydrochloride, per 1 mg	79	18	$5.00	$0.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$198.12	$157.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	60	$51.67	$40.79
76872 Ultrasound scan of pelvic region through rectum	60	59	$128.82	$86.37
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$118.48	$72.13
55700 Biopsy of prostate gland	42	41	$256.07	$227.17
52332 Insertion of stent in urinary duct (ureter) using an endoscope	42	36	$312.98	$102.99
51798 Ultrasound measurement of bladder capacity after voiding	35	33	$20.80	$17.62
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	35	35	$890.00	$827.39
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	34	34	$195.00	$56.24
55875 Insertion of needle or tube into prostate for radiation therapy	32	14	$2079.69	$700.78
52281 Dilation of bladder canal (urethra) using an endoscope	32	31	$320.63	$256.15
50590 Shock wave crushing of kidney stones	30	24	$950.00	$553.41
76775 Limited ultrasound scan behind abdominal cavity	28	25	$115.00	$54.42
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	26	16	$41.12	$30.13
51741 Electronic assessment of bladder emptying	25	25	$20.00	$9.21
52276 Incision of the bladder canal (urethra) using an endoscope	22	18	$295.00	$225.13
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	19	19	$350.00	$290.58
51797 Insertion of device into abdomen with pressure and urine flow rate study	19	19	$140.00	$103.40
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	19	18	$58.32	$50.83
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$110.68	$97.49
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	19	19	$203.00	$32.46
51720 Instillation of anti-cancer drug into bladder	17	15	$120.00	$30.96
52283 Steroid injection into bladder canal (urethra) stricture using an endoscope	17	14	$290.00	$90.55
52630 Removal of remaining or regrown prostate tissue with control of bleeding using an endoscope	16	15	$454.06	$388.77
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	16	14	$330.00	$193.37
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	14	$255.33	$230.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$145.00	$131.20
99238 Hospital discharge day management, 30 minutes or less	13	13	$75.00	$68.90
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	13	12	$308.46	$171.04
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	11	11	$409.09	$246.60
74420 Imaging of urinary tract	11	11	$52.27	$16.85

Medical Specialties & State Licenses

CMS Verified: 2025-04-30

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License AZ 77080

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Specialist

NUCC Taxonomy Code: 174400000X

State License UT 188550-1205

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Urology

NUCC Taxonomy Code: 208800000X

State License NV 15297

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pehp

68471 (UT)

Commercial Insurance / Payer ID Dmba

751575 (UT)

Commercial Insurance / Payer ID Emia

870562879ELL (UT)

Commercial Insurance / Payer ID Altius

QM0000076522 (UT)

Commercial Insurance / Payer ID Cigna

6411882 (UT)

Commercial Insurance / Payer ID Medicare Id For Nevada Practice Location

V108245 (NV)

Commercial Insurance / Payer ID Humana

005575530 (UT)

Commercial Insurance / Payer ID Rr Medicare

340020123 (UT)

Commercial Insurance / Payer ID Ihc

107011798101 (UT)

Commercial Insurance / Payer ID Bc Bs

18855012000001 (UT)

Hospital & Practice Group Affiliations

Summit Healthcare Medical Associates

4951 S White Mountain Rd, Show Low, AZ 859017801

Phone: 9285376700

Summit Healthcare Medical Associates

4951 S White Mountain Rd, Show Low, AZ 859017801

Phone: 9285376700

Summit Healthcare Medical Associates

625 N 13th, St Johns, AZ 859361019

Phone: 9283373000

Pinnacle Health Medical Services

250 Fame Ave, Hanover, PA 173311576

Phone: 7176467011

Secondary Practice Locations

4951 S White Mountain Rd Bldg A

Show Low, AZ 859017827

Phone: 9285376700

340 Falcon Ridge Pkwy Ste 203

Mesquite, NV 890278851

Phone: 4356283606

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Warren Stucki , MD

Specialist

NPI 1588669535

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

👤

Provider Name / Credentials Updated April 30, 2025

Recorded as JOHN ELLSWORTH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2025

Specialist (License #188550-1205 in UT)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2022

Urology (License #15297 in NV)

📍

Updated Practice Location June 25, 2018

Registered at 736 S 900 E STE 108, ST GEORGE, UT 84790 (Tel: 4356283606)

✅

NPI Profile Active November 12, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 12, 2014

Registered at 736 S 900 E STE 108, ST GEORGE, UT 847907002 (Tel: 4356283606)

📍

Updated Business Mailing Address November 12, 2014

Registered at 736 S 900 E STE 108, ST GEORGE, UT 847907002 (Tel: 4356283606)

👤

Provider Name / Credentials Updated November 12, 2014

Recorded as J. ELLSWORTH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2014

Specialist (License #188550-1205 in UT)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2014

Urology (License #15297 in NV)

🟢

Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1083619043

Entity Type:

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

Enumeration Date: June 16, 2005

Last Update: April 30, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

736 S 900 E Ste 108

St George, UT 847907002

Phone: 4356283606

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.