Brian K Ellefsen, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

R5N34 Issued in MO

Practice address

2100 W Main St
Sedalia, MO 65301-2351

Phone

(660) 826-5750

Fax

(660) 829-5750

NPI assigned

Sep 26, 2006

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Orthopedic Surgery

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Missouri Valley Sports Medicine and Orthopedics IncGroup PAC ID 6608270061, 2 clinicians

Nevada City HospitalGroup PAC ID 9830095280, 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nevada Regional Medical Center Hospital, Nevada, MO, CCN 260061
• Bothwell Regional Health Center Hospital, Sedalia, MO, CCN 260009

Merit-based Incentive Payment System (MIPS)

Final score

78.89 of 100Reported as group

Quality

50.25

Promoting interoperability

90

Improvement activities

40

Cost

81.17

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Missouri Valley Sports Medicine and Orthopedics Inc

  • Orthopaedic Surgery Physician
  • Sedalia, MO
  • NPI 1023487709
  Medicare reassignment Care Compare group NPD Authorized official
• Nevada City Hospital

  dba Nevada Regional Medical Center

  • Rural Acute Care Hospital
  • Nevada, MO
  • NPI 1942283866
  Medicare reassignment Care Compare group NPD
• Southwest Missouri Bone & Joint, Inc.

  • Orthopaedic Surgery Physician
  • Carthage, MO
  • NPI 1255432399
  NPD (past) Authorized official
• Nevada City Hospital

  dba Nevada Medical Clinic

  • Rural Health Clinic/Center
  • Nevada, MO
  • NPI 1730805136
  NPD
• Nevada City Hospital

  dba Nevada Regional Medical Center Now Care Clinic

  • Rural Health Clinic/Center
  • Nevada, MO
  • NPI 1427385517
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

• Bothwell Regional Health Center

  • General Acute Care Hospital
  • Sedalia, MO
  • NPI 1235102690
  Care Compare affiliation
• Bothwell Regional Health Center

  dba Cole Camp Clinic

  • Rural Health Clinic/Center
  • Cole Camp, MO
  • NPI 1497705313

  Hospital

  Care Compare affiliation
• Nevada City Hospital

  dba Nevada Regional Medical Center Professional Practice Clinic

  • Surgery Physician
  • Nevada, MO
  • NPI 1164754859

  Hospital

  Care Compare affiliation
• Nevada City Hospital

  dba Nevada Regional Medical Center Wound Care Clinic

  • Surgery Physician
  • Nevada, MO
  • NPI 1205164753

  Hospital

  Care Compare affiliation
• Nevada City Hospital

  dba Nevada Regional Medical Center Specialty Clinic

  • General Practice Physician
  • Nevada, MO
  • NPI 1689904336

  Hospital

  Care Compare affiliation
• Nevada City Hospital

  dba Nevada Regional Medical Center

  • Rural Acute Care Hospital
  • Nevada, MO
  • NPI 1942283866
  Care Compare affiliation

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1871694760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W MAIN ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012351",
            "telephone_number": "660-826-5750",
            "fax_number": "660-829-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W MAIN ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012351",
            "telephone_number": "660-826-5750",
            "fax_number": "660-829-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEFSEN",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R5N34",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "DOR5N34",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200015237",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Edwards, PA-C
• Ryan K Edwards, MD
• Jenna Eichler, PHARMD
• Steven C. Eldenburg, D.O.
• Eldercare LLC
• Alyssa Marie Emery, MD
• Empowerme Rehabilitation Missouri LLC
• Empowerme Rehabilitation Mo Agency
• Hannah Ervin
• Fay C Evans, ARNP

• Orthopaedic Surgery Physician in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.