2026 NPPES data Family Medicine Physician NPI 1568690758 MD
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Andrew Ellsworth, MD

Family Medicine Physician in Brookings, South Dakota. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 147,640 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.

Federal data — no proprietary rating. We show these CMS records as-is — no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
6K
Medicare Part D claims · 337 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$23.02
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Andrew Ellsworth, MD filed 5,695 Medicare Part D claims in 2023 as a Family Medicine Physician in Brookings, South Dakota, prescribing 87% generic.

6K
Part D claims, 2023
87%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Andrew Ellsworth, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

5,695 Top 5% higher than 95% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

Andrew Ellsworth, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Andrew Ellsworth, MD?

Quality data not reported

NPI registry status

Active

Issued 06/25/2009

NPI 1568690758

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

5,695 67% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in South Dakota

How Family Medicine Physician compares to other specialties among South Dakota providers

South Dakota providers

Largest specialties in South Dakota (% of in-state providers)

Physical Therapist — 5.6%Physical Therapist5.6%Pharmacist — 5.5%Pharmacist5.5%Registered Nurse — 4.8%Registered Nurse4.8%Family Nurse Practitioner — 4.7%Family Nurse Practitioner4.7%Mental Health Counselor — 4%Mental Health Counselor4%Physician Assistant — 3.7%Physician Assistant3.7%Family Medicine Physician — 3.4%Family Medicine Physician3.4%
Largest specialties in South Dakota (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Andrew Ellsworth, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 400 22ND AVE, Brookings, SD, 57006, with a listed phone of (605) 697-9500. NPI 1568690758 was issued on 06/25/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Ellsworth most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 5,695 prescription claims written by this provider, covering 337 Medicare beneficiaries and totaling roughly $510K in drug spend, split 12% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.8%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

400 22ND AVE
Brookings, SD 57006

Provider Details

NPI 1568690758
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/25/2009

Hospital and facility affiliations

Facilities where Andrew Ellsworth, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

City OF Brookings
Brookings, SD
Rural Health Care Inc
Brookings, SD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Andrew Ellsworth, MD. Source: openpaymentsdata.cms.gov.

Total received

$23

Largest payer

Astellas Pharma US Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

Andrew Ellsworth, MD — brand share 12.0%
Family Medicine Physician average

12% brand-name claims vs 87% generic, on 5,695 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

5,695
Total Claims
$510K
Total Drug Cost
337
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,871
Total Day Supply
312,386
Brand vs Generic
12% brand / 87% generic
Brand Drug Cost
$411K
Generic Drug Cost
$97K
Opioid Claims
161 (2.8% rate)
Antibiotic Claims
81

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.01
Gender Split
34% female / 66% male
Age Distribution
<65: 37, 65-74: 168, 75-84: 88, 85+: 44

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Andrew Ellsworth, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
355
Levothyroxine Sodium
253
Metoprolol Succinate
186
Lisinopril
179
Losartan Potassium
171
Amlodipine Besylate
170
Tamsulosin Hcl
163
Omeprazole
135
Metformin Hcl Er
Metformin Hcl
127
Jardiance
Empagliflozin
110

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How Andrew Ellsworth, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Andrew Ellsworth, MD's 5,695 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as Ellsworth.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the South Dakota medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Andrew Ellsworth, MD's specialty?
Andrew Ellsworth, MD specializes in Family Medicine Physician and practices in Brookings, South Dakota. Credentials: MD.
How much does Andrew Ellsworth, MD prescribe under Medicare Part D?
In 2023, Andrew Ellsworth, MD wrote 5,695 Medicare Part D claims totaling $510K in drug costs for 337 beneficiaries.
Where is Andrew Ellsworth, MD located?
Andrew Ellsworth, MD is located at 400 22ND AVE, Brookings, SD, 57006. Phone: (605) 697-9500.
What is Andrew Ellsworth, MD's NPI number?
Andrew Ellsworth, MD's National Provider Identifier (NPI) is 1568690758, issued on 06/25/2009.
Does Andrew Ellsworth, MD prescribe more brand-name or generic drugs?
Andrew Ellsworth, MD's prescribing is 12% brand-name and 87% generic drugs by claim count, with $411K in brand drug costs.
Does Andrew Ellsworth, MD prescribe opioids?
Yes, Andrew Ellsworth, MD had 161 opioid claims in 2023 with an opioid prescribing rate of 2.8%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Andrew Ellsworth, MD prescribe most often?
Based on 2023 Medicare Part D data, Andrew Ellsworth, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrew Ellsworth, MD accept Medicare?
Andrew Ellsworth, MD appears in CMS Medicare data with 5,695 Part D claims and 337 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrew Ellsworth, MD's credentials?
Andrew Ellsworth, MD's NPI is 1568690758 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.