Matthew McKinley Ellsworth, DPM
NPI 1124387618ActiveIndividual· Podiatrist· Ashland, KY
Podiatrist (DPM) with Kings Daughters Medical Specialties Inc and 1 other group, practicing in Ashland, Kentucky. 457 Medicare patients in 2024, $51,512 paid; all of their 562 Part D prescriptions were generic. Lists Intermountain Health St. Mary's Regional Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1124387618 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPM |
| Sole proprietor | No |
| NPI issued | May 3, 2012 |
| Last updated in NPPES | Aug 12, 2020 |
| Certified by provider | Aug 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 00426 | KY |
| Podiatrist | 213E00000X | 36.003921 | OH |
| Podiatrist, Foot Surgery | 213ES0131X | 00426 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (CO); Practitioner - Podiatry (KY); Practitioner - Podiatry (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 457 |
|---|---|
| Services billed | 1,328 across 28 procedure codes |
| Paid by Medicare | $51,512 |
Part D prescriptions in 2024
| Prescriptions (claims) | 562 · 618 30-day fills |
|---|---|
| Patients | 255 |
| Total drug cost | $6,214 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Podiatry |
Medical groups
- Kings Daughters Medical Specialties IncWheelersburg, OH · 400 clinicians
- Intermountain Medical Group Grand Junction, LLCGrand Junction, CO · 296 clinicians
Hospital affiliations
- Intermountain Health St. Mary's Regional HospitalGrand Junction, CO
- King's Daughters' Medical CenterAshland, KY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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