NPPES file of Aug 9, 2026

David Garth Ellertson, M.D.

Vascular Surgery Physician · Modesto, CA

David Garth Ellertson, M.D. is a vascular surgery physician with a practice address in Modesto, California, and NPI 1912964495, issued on Apr 27, 2006. Check the license (California G17987, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1912964495
Name
David Garth Ellertson
Credential
M.D.
Primary taxonomy
Vascular Surgery Physician 2086S0129X
License number
G17987 CA
Self-reported in NPPES; status is on the state search
Practice location
4101 Tully RD, Modesto, CA 95356
Phone
(209) 524-8346
Enumerated
Apr 27, 2006
Record last updated
Feb 12, 2015 (not updated in 11 years: call before relying on the address or phone)
Fax
(209) 524-7723
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 4101 Tully RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Linda Chen, DMDGeneral Practice Dentistry1700983301
  2. Nasrin Ergash, DMDDentist1376901371
  3. Wesley Wong, DDSDentist1083984942

Verify David Garth Ellertson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license G17987
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

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The practice group's MIPS final score for 2023 (Medicare payment program): 77.7 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score71.9
  2. Costout of 100 · 30%29.9
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

David Garth Ellertson among 580 vascular surgery physician records in California

David Garth Ellertson, M.D. is one of 580 vascular surgery physician records with a practice address in California. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.

  • NPI issued2006 · 6% of these records are older, 54% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileNo · 71% of these records are
  • Record last updated2015 · 53% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086S0129X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Vascular Surgery Physician providers in California

There are 580 vascular surgery physician records in California.

The 8 vascular surgery physician records with the nearest ZIP codes

  1. James Roberts, M.D., R.V.T. FACSModesto, CA 953501356346936
  2. Meredith McBride, MDSonora, CA 953701255439923
  3. Marissa Toma, MDManteca, CA 953371841615606
  4. C. Robert Barlow, MDSanta Rosa, CA 954031528142502
  5. Kirsten Dansey, M.D.Santa Rosa, CA 954031578957981
  6. Sae Hee Ko, MDSanta Rosa, CA 954031407141757
  7. Lucinda Romero, MDSanta Rosa, CA 954031174673990
  8. Michael Pezold, M.D.Santa Rosa, CA 954051720377856

Common questions

What is David Garth Ellertson, M.D.'s NPI number?

David Garth Ellertson, M.D.'s National Provider Identifier (NPI) is 1912964495, issued on Apr 27, 2006. An NPI identifies a provider in billing; it is not a license.

Where is David Garth Ellertson, M.D. located?

The NPPES record lists a practice address at 4101 Tully RD, Modesto, CA, 95356. Phone: (209) 524-8346. Providers update this record themselves, so call before visiting.

How can I verify David Garth Ellertson, M.D.'s license?

NPPES lists California license number G17987, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is David Garth Ellertson, M.D.'s MIPS final score?

The 2023 MIPS final score is 77.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.