Chase Ellingsworth, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2014018401 Issued in MO

Practice address

3801 S National Ave
Springfield, MO 65807-5210

Phone

(417) 269-7728

Fax

(417) 269-7729

NPI assigned

Jun 13, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Specialty

Family Practice

Education

University of Missouri, Columbia School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Merit-based Incentive Payment System (MIPS)

Final score

87.41 of 100Reported as group

Quality

76.32

Promoting interoperability

100

Improvement activities

40

Cost

81.7

Merit-based Incentive Payment System (MIPS)

Final score

85.78 of 100Reported as group

Quality

74.39

Promoting interoperability

100

Improvement activities

40

Cost

78.21

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: celling@yourcarecommunity.org

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

• Lester E Cox Medical Centers

  • Hospitalist Physician
  • Springfield, MO
  • NPI 1902969272

  MO

  Medicare reassignment Care Compare group NPD
• Cox Barton County Hospital

  • Emergency Medicine Physician
  • Lamar, MO
  • NPI 1174166177

  MO

  Medicare reassignment NPD
• Cox Barton County Hospital

  • Critical Access Hospital
  • Lamar, MO
  • NPI 1922514629

  MO

  Medicare reassignment NPD
• Cox-Monett Hospital, Inc.

  • Critical Access Hospital
  • Monett, MO
  • NPI 1194757500

  MO

  Medicare reassignment NPD
• Cox-Monett Hospital, Inc.

  • Emergency Medicine Physician
  • Monett, MO
  • NPI 1669687125

  MO

  Medicare reassignment NPD
• Skaggs Community Hospital Association

  • Rural Health Clinic/Center
  • Forsyth, MO
  • NPI 1861423683

  Family Medicine, MO

  Medicare reassignment NPD
• Lester E Cox Medical Centers

  • Geriatric Medicine (Internal Medicine) Physician
  • Springfield, MO
  • NPI 1356068605

  Family Medicine

  Care Compare group NPD
• Lester E. Cox Medical Centers

  • Family Medicine Physician
  • Shell Knob, MO
  • NPI 1538334396

  MO

  Medicare reassignment
• Lester E Cox Medical Centers

  • Obstetrics & Gynecology Physician
  • Springfield, MO
  • NPI 1043386774
  Care Compare group
• Lester E Cox Medical Centers

  • Family Medicine Physician
  • Ava, MO
  • NPI 1053481689
  Care Compare group
• Lester E Cox Medical Centers

  • Family Medicine Physician
  • Willard, MO
  • NPI 1073687299
  Care Compare group
• Lester E Cox Medical Centers

  • Psychiatry Physician
  • Springfield, MO
  • NPI 1073905915
  Care Compare group

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

• Lester E Cox Medical Centers

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1093740128

  Hospital

  Care Compare affiliation
• Lester E Cox Medical Centers

  • Land Ambulance
  • Springfield, MO
  • NPI 1114044823

  Hospital

  Care Compare affiliation
• Lester E. Cox Medical Centers

  • Air Ambulance
  • Springfield, MO
  • NPI 1578680286

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1801200233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-265-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-269-7728",
            "fax_number": "417-269-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGSWORTH",
        "first_name": "CHASE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2014018401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga A Eldridge, PMHNP
• Elite Pain Management, LLC
• Elite Professional Providers, LLC
• Brendan Ellebracht, RN
• Andrew Edward Ellett, MD
• Andrea Elliott
• Bentley J Elliott, BCBA
• James M Elliott, CRNA
• Jessica M Ellis-Hall, PSYD, PLP
• Joan Ellis-Young, LPC

• All providers in Springfield, MO
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.