Derek Ellingson, D.O.
NPI 1487848644ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Fort Wayne, IN
Pathology, Anatomic Pathology & Clinical Pathology (D.O.) in Fort Wayne, Indiana, trained at At Still University of Health Sciences, College of Osteo Med, Kirksville (class of 2007). Medicare paid $78,706 for services to 830 patients in 2024.
Overview
| NPI | 1487848644 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Aug 30, 2007 |
| Last updated in NPPES | Aug 25, 2021 |
| Certified by provider | Aug 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | 02006527A | IN |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | DO05260 | IA |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | MEDO7423 | AK |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2007018750 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (AK); Practitioner - Pathology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 830 |
|---|---|
| Services billed | 2,692 across 31 procedure codes |
| Paid by Medicare | $78,706 |
Education and affiliations
| Medical school | At Still University of Health Sciences, College of Osteo Med, Kirksville |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Pathology |
Medical group
- Cellnetix Pathology PLLCSeattle, WA · 59 clinicians
Hospital affiliations
- Alaska Regional HospitalAnchorage, AK
- Mat-Su Regional Medical CenterPalmer, AK
- Providence Alaska Medical CenterAnchorage, AK
- Swedish Medical CenterSeattle, WA
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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