John Bryan Ellsworth, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

77080 Issued in AZ

Practice address

736 S 900 E Ste 108
St George, UT 84790

Phone

(435) 628-3606

Fax

(435) 628-8404

NPI assigned

Jun 16, 2005

Last updated

Apr 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in UT, AZ, PA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Urology

Education

University of Nevada School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Summit Healthcare Medical AssociatesGroup PAC ID 8729205737, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Hanover Hospital, Hanover, PA, CCN 390233
• Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062
• Upmc Memorial Hospital, York, PA, CCN 390101

Merit-based Incentive Payment System (MIPS)

Final score

78.01 of 100Reported as individual

Quality

51.12

Promoting interoperability

100

Improvement activities

40

Cost

75.57

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bellswor@yourcarecommunity.org
• Direct secure messaging: j.bryan.ellsworth.1@9258.direct.athenahealth.com
• Direct secure messaging: johnellsworth@shrmcshma.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427
  Medicare reassignment Care Compare group NPD
• Summit Healthcare Medical Associates

  • Family Medicine Physician
  • Show Low, AZ
  • NPI 1467878108

  Urology

  Medicare reassignment Care Compare group NPD
• Urology Associates, LLC

  • Specialist
  • St George, UT
  • NPI 1952436826
  Medicare reassignment
• Pinnacle Health Medical Services

  dba UPMC Gastroenterology Associates of Central PA

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  dba UPMC Pinnacle Hillside Specialty Care

  • Internal Medicine Physician
  • Hanover, PA
  • NPI 1871071654
  NPD
• Summit Healthcare Association

  dba Summit Healthcare Regional Medical Center

  • Rural Acute Care Hospital
  • Show Low, AZ
  • NPI 1144209271
  NPD
• Summit Healthcare Medical Associates

  • Rural Health Clinic/Center
  • Eagar, AZ
  • NPI 1063166999
  NPD
• Southwest Skin and Cancer LLC

  • Specialist
  • St George, UT
  • NPI 1619929783
  NPD (past)
• Summit Healthcare Association

  dba Summit Healthcare Oncology Center

  • Oncology Clinic/Center
  • Show Low, AZ
  • NPI 1083736128
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summit Healthcare Association

  dba Summit Healthcare Oncology Center

  • Oncology Clinic/Center
  • Show Low, AZ
  • NPI 1083736128

  Hospital

  Care Compare affiliation
• Summit Healthcare Association

  dba Summit Healthcare Regional Medical Center

  • Rural Acute Care Hospital
  • Show Low, AZ
  • NPI 1144209271
  Care Compare affiliation
• Summit Healthcare Medical Associates

  dba Family Medicine at Bison Ranch

  • Rural Health Clinic/Center
  • Overgaard, AZ
  • NPI 1770700767

  Hospital

  Care Compare affiliation
• Upmc Hanover

  • Clinic/Center
  • Hanover, PA
  • NPI 1700084944

  Hospital

  Care Compare affiliation
• Upmc Hanover

  • General Acute Care Hospital
  • Hanover, PA
  • NPI 1730158981
  Care Compare affiliation
• Upmc Memorial

  • General Acute Care Hospital
  • York, PA
  • NPI 1063945707
  Care Compare affiliation
• Upmc Memorial

  • Ambulatory Surgical Clinic/Center
  • York, PA
  • NPI 1235664186

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1083619043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 S 900 E STE 108",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907002",
            "telephone_number": "435-628-3606",
            "fax_number": "435-628-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 S 900 E STE 108",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-628-3606",
            "fax_number": "435-628-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4951 S White Mountain Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859017827",
            "country_code": "US",
            "telephone_number": "928-537-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Falcon Ridge Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890278851",
            "country_code": "US",
            "telephone_number": "435-628-3606",
            "fax_number": "435-628-8404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "JOHN",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "188550-1205",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "15297",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "77080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "68471",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "751575",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMIA",
            "identifier": "870562879ELL",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000076522",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6411882",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID FOR NEVADA PRACTICE LOCATION",
            "identifier": "V108245",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "005575530",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "340020123",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107011798101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "18855012000001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carter Ellis
• Corey Ellis, DO
• Scott Richard Ellis, DDS
• Stephanie Ellis
• Ellsworth Foot and Ankle Clinic
• Steven K Ellsworth, D.O.
• Madison Elmont
• Taylor Elmont
• Conni Elms, NP-C
• Nikki Elms

• Urology Physician in St George, UT
• Providers in St George, UT by specialty
• Urology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.