JOHN ELLSWORTH, M.D.
Specialist in ST GEORGE, Utah. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
JOHN ELLSWORTH, M.D. reported a CMS MIPS final score of 74.843/100 — below the 83.1 national average — and filed 3,641 Medicare Part D claims in 2023.
- 74.843/100
- MIPS score · -8 vs avg
- 4K
- Part D claims, 2023
- $1.1K
- industry payments (Sunshine Act)
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.
JOHN ELLSWORTH, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
75 12th percentile higher than 12% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
What does the federal data show about JOHN ELLSWORTH, M.D.?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Utah
How Specialist compares to other specialties among Utah providers
Specialist share within Utah
Specialist is one of the more visible NUCC categories in Utah
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
JOHN ELLSWORTH, M.D.'s 2023 MIPS final score plotted against the Specialist national average
- MIPS Final Score
- 74.843/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Specialist) — 74.843/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Specialist US NPIs
74.843/100 MIPS final score — 8.3 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Specialist. Quality dim: 45.9778. Cost dim: 88.1728.
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).
JOHN ELLSWORTH, M.D. is a Specialist provider practicing in ST GEORGE, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1083619043. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.
JOHN ELLSWORTH, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 736 S 900 E STE 108, ST GEORGE, UT, 84790, with a listed phone of (435) 628-3606. NPI 1083619043 was issued on 06/16/2005. 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 3,641 prescription claims written by this provider, covering 883 Medicare beneficiaries and totaling roughly $227K in drug spend, with an opioid prescribing rate of 6.9%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 74.843/100 for the 2023 performance year (Quality 45.9778, Cost 88.1728), compared with the national average of 83.1.
Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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
Provider Details
| NPI | 1083619043 |
|---|---|
| Specialty | Specialist |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/16/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm JOHN ELLSWORTH, M.D.'s current license status, disciplinary history, and board certifications with the Utah Division of Professional Licensing in Utah before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
Hospital and facility affiliations
Facilities where JOHN ELLSWORTH, M.D. 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.
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 JOHN ELLSWORTH, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.1K
Largest payer
Boston Scientific Corporation
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 7,625
- Total Day Supply
- 201,262
- Generic Drug Cost
- $96K
- Opioid Claims
- 253 (6.9% rate)
- Antibiotic Claims
- 916
Patient Demographics
- Average Patient Age
- 76.2 years
- Avg HCC Risk Score
- 1.22
- Gender Split
- 20% female / 80% male
- Age Distribution
- <65: 12, 65-74: 369, 75-84: 392, 85+: 110
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 976 |
| Finasteride | 431 |
| Ciprofloxacin Hcl | 245 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 206 |
| Levofloxacin | 162 |
| Solifenacin Succinate | 121 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 110 |
| Oxybutynin Chloride | 96 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 90 |
| Cefdinir | 89 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How JOHN ELLSWORTH, M.D. fits within the Specialist landscape nationally.
JOHN ELLSWORTH, M.D.'s 3,641 claims are above the specialty average of 1,474.
Nearby Specialist Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as ELLSWORTH.
Compare Specialist nationally: see state-by-state distribution →
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Frequently Asked Questions
What is JOHN ELLSWORTH, M.D.'s specialty? ▼
How much does JOHN ELLSWORTH, M.D. prescribe under Medicare Part D? ▼
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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.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
- 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