Doctor profile · Federal record
Dr. Kelley Ellsworth, PA-C
Physician Assistant · Physician Assistant · Washington, DC
- NPI 1710541487
- Accepts Medicare
- MIPS 79.1 / 100 · 2023
- 7 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
3301 New Mexico Ave Nw Ste 205
Washington, DC 200163627
(202) 243-2500 - Additional location
-
364 State RD
Vineyard Haven, MA 025685624
(508) 693-4400
fax (508) 693-2098 - Additional location
-
3135 38Th St Nw
Washington, DC 200163726
(202) 744-4983 - Mailing address
-
3135 38Th St Nw
Washington, DC 200163726
Credentials & registration
- NPI registered
- April 2019 — 7 yrs on file
- Profile last updated
- June 15, 2022
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- District of Columbia #PA031761 · Massachusetts #PA7445
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710541487. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
380
Distinct HCPCS
10
Medicare allowed
$44,273
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 189 | 142 | $122 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 39 | 39 | $123 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 23 | 23 | $282 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 22 | 21 | $87 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 21 | 20 | $171 | |
G0009 |
Administration of pneumococcal vaccine | 20 | 20 | $35 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 18 | 18 | $76 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 15 | 15 | $8 | |
90471 |
Administration of vaccine | 11 | 11 | $20 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $160 |
In context: peer comparison
Among 67 peers in this city , average services per provider: 57. This provider delivers 6.7× the peer median.Open Payments
Industry payments received
All-time total
$120
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 1 | $119.89 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
297
Patients
69
Total drug cost
$6,687
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Rosuvastatin Calcium | Generic | 35 | 18 | $1,612 |
| Atorvastatin Calcium | Generic | 33 | 14 | $425 |
| Amlodipine Besylate | Generic | 31 | 14 | $338 |
| Trazodone Hcl | Generic | 25 | 12 | $256 |
| Lisinopril | Generic | 24 | 11 | $240 |
| Levothyroxine Sodium | Generic | 18 | 0 | $437 |
| Omeprazole | Generic | 17 | 0 | $518 |
| Escitalopram Oxalate | Generic | 16 | 0 | $196 |
| Gabapentin | Generic | 16 | 0 | $788 |
| Famotidine | Generic | 15 | 0 | $328 |
Frequently asked questions
What is Dr. Kelley Ellsworth's medical specialty?
Dr. Kelley Ellsworth practices Physician Assistant in Washington, DC.
Where does Dr. Kelley Ellsworth practice?
Dr. Kelley Ellsworth practices at 3301 New Mexico Ave Nw Ste 205, Washington, DC 200163627. Office phone: 2022432500.
What is Dr. Kelley Ellsworth's NPI?
Dr. Kelley Ellsworth's National Provider Identifier (NPI) is 1710541487, issued by NPPES.
Does Dr. Kelley Ellsworth accept Medicare assignment?
Yes. Dr. Kelley Ellsworth accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelley Ellsworth commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS 90677). Source: CMS Medicare Physician & Other Practitioners file.