Kevin Mark Ellsworth, OD
- Medicare patients, 2024
- 115
- Part D claims, 2024
- 89
- Hospital affiliations
- 1
- State license
- 1
- Year NPI issued
- 2005
- Practice address
- 1034 North 500 West, Provo, UT 84604
- Practice phone
- Call (801) 373-7850
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Kevin Ellsworth's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Kevin Mark Ellsworth is an optometrist in Provo, Utah
Kevin Ellsworth practices at Utah Valley Hospital in Provo, Utah, part of Intermountain Health.
Kevin Ellsworth's NPI, 1669457024, was assigned on December 8, 2005. Kevin Ellsworth graduated from Southern California College of Optometry in 1985. Kevin Ellsworth holds Utah license 112376-9934.
- NPI
- 1669457024NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5890775027
- NPI enumeration date
- December 8, 2005
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (801) 373-7850
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 67
- Medical school graduation
- 1985
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Kevin Mark Ellsworth practices at Utah Valley Hospital in Provo, Utah
Kevin Ellsworth's primary practice is Utah Valley Hospital, at 1034 North 500 West, Provo, UT 84604 in Utah County. The practice phone is (801) 373-7850.
- Utah Valley Hospital1034 North 500 West, Provo, UT 84604 · Utah CountyPhone(801) 373-7850
Source: Dmand AI Affiliation Data
Kevin Mark Ellsworth is affiliated with 1 site of care
Kevin Ellsworth's primary practice is Utah Valley Hospital in Provo, Utah, part of Intermountain Health.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Kevin Mark Ellsworth's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Kevin Ellsworth practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Utah Valley Hospital | Available with a free account |
Source: Dmand AI Technology Install Data
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Kevin Mark Ellsworth is one of 376 optometrists in Utah
Optometrist is Kevin Ellsworth's primary specialty in the NPI Registry, under taxonomy code 152W00000X. Kevin Ellsworth is licensed in Utah.
Specialties and state licenses
- Optometrist, UtahPrimary
Optometrists near Kevin Ellsworth
Counts of optometrists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Kevin Mark Ellsworth treated 115 Medicare patients in 2024, average age 74
CMS counts 115 Medicare patients who saw Kevin Ellsworth in 2024. The largest group is 65 to 74, with 71 patients. 62% of them have high blood pressure, and 59% have high cholesterol. Their average risk score is 0.89, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Kevin Ellsworth's median patient age at 67, with 53% women.
Kevin Ellsworth's Medicare patients by age, 2024
Kevin Ellsworth's Medicare patients by sex, 2024
- Women5951%
- Men5649%
Chronic conditions among Kevin Ellsworth's Medicare patients, 2024
- High blood pressure62%
- High cholesterol59%
- Arthritis36%
- Diabetes30%
- Depression23%
- Mood disorders23%
- Chronic kidney disease19%
- Ischemic heart disease17%
Share of Medicare patients with each condition. A patient can have several.
Kevin Ellsworth's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 67
Patient panel by sex, all payers
- Women53%
- Men47%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Kevin Mark Ellsworth wrote 89 Medicare Part D claims in 2024
In 2024, Kevin Ellsworth wrote 89 Medicare Part D claims for 24 patients. 91% of them were for generic drugs.
Kevin Ellsworth's Part D claims by kind of drug, 2024
- Generic81 claims91%
- Brand-name and other8 claims9%
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
How Kevin Mark Ellsworth takes part in Medicare
Kevin Ellsworth accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Cataract surgery: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)
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Kevin Mark Ellsworth graduated from Southern California College of Optometry
Kevin Ellsworth graduated from Southern California College of Optometry in 1985.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Kevin Mark Ellsworth's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Kevin Mark Ellsworth
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Kevin Mark Ellsworth's NPI number?
Kevin Mark Ellsworth's NPI number is 1669457024. It was assigned on December 8, 2005, and it is active in the NPI Registry.
What does Kevin Mark Ellsworth specialize in?
Kevin Mark Ellsworth is an optometrist in Provo, Utah. The primary specialty in the NPI Registry is Optometrist (taxonomy code 152W00000X).
Where does Kevin Mark Ellsworth practice?
Kevin Ellsworth practices at 1034 North 500 West, Provo, UT 84604. Kevin Ellsworth's primary practice is Utah Valley Hospital in Provo, Utah, part of Intermountain Health.
What is Kevin Mark Ellsworth's office phone number?
The practice phone on file for Kevin Ellsworth is (801) 373-7850.
What is Kevin Mark Ellsworth's medical license number?
Kevin Ellsworth holds Utah license 112376-9934.
Which hospitals is Kevin Mark Ellsworth affiliated with?
Kevin Ellsworth practices at Utah Valley Hospital in Provo, Utah.
Does Kevin Mark Ellsworth accept Medicare?
Yes. CMS lists Kevin Ellsworth as accepting Medicare assignment.
How many Medicare patients does Kevin Mark Ellsworth see?
CMS counts 115 Medicare patients who saw Kevin Ellsworth in 2024, with an average age of 74.
Where did Kevin Mark Ellsworth go to medical school?
Kevin Ellsworth graduated from Southern California College of Optometry in 1985.
How long has Kevin Mark Ellsworth been practicing?
Kevin Ellsworth graduated from medical school in 1985, 41 years ago.
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