NPPES file of Aug 9, 2026

Kevin Mark Ellsworth, O.D.

Optometrist · Logan, UT

Kevin Mark Ellsworth, O.D. is an optometrist with a practice address in Logan, Utah, and NPI 1669457024, issued on Dec 8, 2005. Check the license (Utah 112376-9934, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1669457024
Name
Kevin Mark Ellsworth
Credential
O.D.
Primary taxonomy
Optometrist 152W00000X
License number
112376-9934 UT
Self-reported in NPPES; status is on the state search
Practice location
395 E 1400 N, Logan, UT 84341
Phone
(435) 752-5585
Enumerated
Dec 8, 2005
Record last updated
Aug 20, 2008 (not updated in 18 years: call before relying on the address or phone)
Fax
(435) 787-2871
Medicare enrollment
Enrolled (PECOS I20040720001186); accepts Medicare assignment
Medical or professional school
Southern California College Of Optometry, 1985
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest optometrist records → All 470 in Utah → Look up another NPI →

Verify Kevin Mark Ellsworth in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Utah board licenses this profession
    Search for license 112376-9934    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
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68% fewer Medicare Part D claims than the average optometrist in 2024

89 Medicare Part D claims for 24 beneficiaries, against an average of 277 among the 33,128 providers of this specialty who prescribed in Part D.

  1. Kevin Ellsworth89
  2. Specialty average277

Most prescribed

  1. Latanoprost35 claims
  2. Dorzolamide-Timolol25 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Kevin Mark Ellsworth among 470 optometrist records in Utah

Kevin Mark Ellsworth, O.D. is one of 470 optometrist records with a practice address in Utah. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 91% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated1985 · median 2008 among the 278 with a school on file
  • Record last updated2008 · 65% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Optometrist providers in Utah

There are 470 optometrist records in Utah.

All 470 in Utah → Every provider in Logan → Optometrist nationwide →

The 8 optometrist records with the nearest ZIP codes

  1. Bradley Budge, ODLogan, UT 843411851708846
  2. Jeffrey Cromwell, O.D.Logan, UT 843411801902333
  3. Rebecca Freeman, O.D.Logan, UT 843411174789721
  4. Gustaf Gibson, O.D.Logan, UT 843411215917307
  5. Alan Hastings, O.D.Logan, UT 843411679523245
  6. Matthew Parry, O.D.Logan, UT 843411639256670
  7. Jeffrey Stancliffe, ODLogan, UT 843411760059950
  8. Phillip Purcell, O.D.Tremonton, UT 843371356653513

Common questions

What is Kevin Mark Ellsworth, O.D.'s NPI number?

Kevin Mark Ellsworth, O.D.'s National Provider Identifier (NPI) is 1669457024, issued on Dec 8, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Kevin Mark Ellsworth, O.D. located?

The NPPES record lists a practice address at 395 E 1400 N, Logan, UT, 84341. Phone: (435) 752-5585. Providers update this record themselves, so call before visiting.

How can I verify Kevin Mark Ellsworth, O.D.'s license?

NPPES lists Utah license number 112376-9934, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.

How much does Kevin Mark Ellsworth, O.D. prescribe under Medicare Part D?

In 2024, Kevin Mark Ellsworth, O.D. had 89 Medicare Part D claims for 24 beneficiaries; the average among optometrist prescribers was 277. Part D covers Medicare prescriptions only.

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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.