Doctor profile · Federal record
Dr. Kevin Ellsworth, O.D.
Optometrist (CMS: Optometry) · Logan, UT
- NPI 1669457024
- Accepts Medicare
- 41 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
395 E 1400 N, Suite B
Logan, UT 843417573
(435) 752-5585
fax (435) 787-2871
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- August 20, 2008
- Year of graduation
- 1985 — 41 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Utah #112376-9934
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669457024. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
218
Distinct HCPCS
3
Medicare allowed
$17,458
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92250 |
Photography of the retina | 110 | 109 | $35 | |
92014 |
Established patient complete exam of visual system | 80 | 80 | $120 | |
92004 |
New patient complete exam of visual system | 28 | 28 | $142 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 48. This provider delivers 4.5× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
54
Patients
11
Total drug cost
$1,584
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 38 | 11 | $1,040 |
| Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) | Brand | 16 | 0 | $544 |
Frequently asked questions
What is Dr. Kevin Ellsworth's medical specialty?
Dr. Kevin Ellsworth practices Optometrist in Logan, UT.
Where does Dr. Kevin Ellsworth practice?
Dr. Kevin Ellsworth practices at 395 E 1400 N, Logan, UT 843417573. Office phone: 4357525585.
What is Dr. Kevin Ellsworth's NPI?
Dr. Kevin Ellsworth's National Provider Identifier (NPI) is 1669457024, issued by NPPES.
Does Dr. Kevin Ellsworth accept Medicare assignment?
Yes. Dr. Kevin Ellsworth accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kevin Ellsworth commonly perform?
Top Medicare-reported procedures in 2023: Photography of the retina (HCPCS 92250); Established patient complete exam of visual system (HCPCS 92014); New patient complete exam of visual system (HCPCS 92004). Source: CMS Medicare Physician & Other Practitioners file.