Doctor profile · Federal record

Dr. Brandon Ellsworth, MD

Anatomic Pathology & Clinical Pathology Physician (CMS: Pathology) · Grand Rapids, MI

  • NPI 1689848459
  • Accepts Medicare
  • 19 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
200 Jefferson Ave Se
Grand Rapids, MI 495034502
(616) 364-6700
Additional location
5900 Byron Center Ave Sw
Wyoming, MI 495199606
(616) 252-7166
Mailing address
Po Box 1629
Lima, OH 458021629

Credentials & registration

NPPES · NUCC
NPI registered
April 2008 — 18 yrs on file
Profile last updated
July 14, 2021
Year of graduation
2007 — 19 yrs since
Specialty taxonomy
207ZP0102X — NUCC code
State license (1)
Michigan #4301102483
Medicaid
MI #1689848459

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1689848459. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,163
Distinct HCPCS
10
Medicare allowed
$36,506
HCPCS Description Services Patients Avg allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity 342 208 $35
84165 Protein measurement, serum 312 203 $17
88341 Special stained specimen slides to examine tissue, each additional procedure 128 50 $27
88342 Special stained specimen slides to examine tissue, initial procedure 105 86 $33
88307 Pathology examination of tissue using a microscope, moderately high complexity 80 54 $77
86334 Immunologic analysis technique on serum (immunofixation) 58 54 $17
88331 Pathology examination of specimen during surgery, first tissue block 42 23 $58
88112 Cell examination of specimen, selective cellular enhancement technique 32 29 $26
85060 Blood smear interpretation by physician with written report 23 22 $22
88173 Evaluation of fine needle aspirate with interpretation and report 21 14 $64

In context: peer comparison

Among 6 peers in Grand Rapids Anatomic Pathology & Clinical Pathology Physician, average services per provider: 97. This provider delivers 12× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Brandon Ellsworth's medical specialty?
Dr. Brandon Ellsworth practices Anatomic Pathology & Clinical Pathology Physician in Grand Rapids, MI.
Where does Dr. Brandon Ellsworth practice?
Dr. Brandon Ellsworth practices at 200 Jefferson Ave Se, Grand Rapids, MI 495034502. Office phone: 6163646700.
What is Dr. Brandon Ellsworth's NPI?
Dr. Brandon Ellsworth's National Provider Identifier (NPI) is 1689848459, issued by NPPES.
Does Dr. Brandon Ellsworth accept Medicare assignment?
Yes. Dr. Brandon Ellsworth accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Brandon Ellsworth commonly perform?
Top Medicare-reported procedures in 2023: Pathology examination of tissue using a microscope, intermediate complexity (HCPCS 88305); Protein measurement, serum (HCPCS 84165); Special stained specimen slides to examine tissue, each additional procedure (HCPCS 88341). Source: CMS Medicare Physician & Other Practitioners file.