Derek Ellingson, D.O.
Anatomic Pathology & Clinical Pathology Physician · Fort Wayne, IN
Derek Ellingson, D.O. is an anatomic pathology & clinical pathology physician with a practice address in Fort Wayne, Indiana, and NPI 1487848644, issued on Aug 30, 2007. Check the license (Indiana 02006527A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Derek Ellingson
- Credential
- D.O.
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License numbers
- 02006527A IN
MEDO7423 AK
DO05260 IA
2007018750 MO
Self-reported in NPPES; status is on the state search - Practice location
- 7950 W Jefferson Blvd, Fort Wayne, IN 46804
- Phone
- (260) 435-7001
- Enumerated
- Aug 30, 2007
- Record last updated
- Aug 25, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20241112001028); accepts Medicare assignment
- Medical or professional school
- At Still University Of Health Sciences, College Of Osteo Med, Kirksville, 2007
- Entity
- Type 1 · individual
8 nearest anatomic pathology & clinical pathology physician records → All 286 in Indiana → Look up another NPI →
Also registered at 7950 W Jefferson Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Giasuddin Ahmed, MDEmergency Medicine Physician1760407001
- Armais Akovbyan, MD, DOCritical Care Medicine (Internal Medicine) Physician1730472945
- Mohannad Alhasani, MDCritical Care Medicine (Internal Medicine) Physician1801243548
- Natalia Allison-Bjoerloew, MDFamily Medicine Physician1689936890
- Deepti AlluriInternal Medicine Physician1376074955
Verify Derek Ellingson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 02006527ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 73.5 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Cellnetix Pathology PLLCSeattle, WA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Derek Ellingson among 286 anatomic pathology & clinical pathology physician records in Indiana
Derek Ellingson, D.O. is one of 286 anatomic pathology & clinical pathology physician records with a practice address in Indiana. 60% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 55% of them.
- NPI issued2007 · 55% of these records are older, 35% newer
- In a Medicare fileYes · 60% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2007 · median 1999 among the 162 with a school on file
- Record last updated2021 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Anatomic Pathology & Clinical Pathology Physician providers in Indiana
There are 286 anatomic pathology & clinical pathology physician records in Indiana.
All 286 in Indiana → Every provider in Fort Wayne → Anatomic Pathology & Clinical Pathology Physician nationwide →
The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes
- Joseph Czaja, M.D.Fort Wayne, IN 468041356520399
- Lili Geng, MDFort Wayne, IN 468041902081706
- Keith Henry, M.D.Fort Wayne, IN 468041447261201
- Jeffrey Squires, MDFort Wayne, IN 468041326070152
- Blandine Bustamante, M.D.Ft Wayne, IN 468051093799546
- Shuishih LeeFt Wayne, IN 468051386628576
- Ralph McBrideFt Wayne, IN 468051487638862
- Darryl SmithFt Wayne, IN 468051275517724
Common questions
What is Derek Ellingson, D.O.'s NPI number?
Derek Ellingson, D.O.'s National Provider Identifier (NPI) is 1487848644, issued on Aug 30, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Derek Ellingson, D.O. located?
The NPPES record lists a practice address at 7950 W Jefferson Blvd, Fort Wayne, IN, 46804. Phone: (260) 435-7001. Providers update this record themselves, so call before visiting.
How can I verify Derek Ellingson, D.O.'s license?
NPPES lists Indiana license number 02006527A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Derek Ellingson, D.O.'s MIPS final score?
The 2023 MIPS final score is 73.5 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.