Derek Ellingson, D.O.
NPI 1487848644 · Anatomic Pathology & Clinical Pathology Physician · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Ellingson, D.O. is a Anatomic Pathology & Clinical Pathology Physician provider in Fort Wayne, IN (NPI 1487848644).
Provider details
- NPI number
- 1487848644
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- DO05260 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,559 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 1,179 | $38 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 526 | $29 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 204 | $36 |
| Pathology Examination of Tissue Using a Microscope, Moderately High Complexity88307 | 144 | $86 |
| Pathology Examination of Tissue Using a Microscope, Moderately Low Complexity88304 | 84 | $11 |
| Cell Examination of Specimen, Selective Cellular Enhancement Technique88112 | 82 | $25 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-30
- Last updated
- 2021-08-25
- Certified
- 2021-08-25
Frequently asked questions
- What is Derek Ellingson's NPI number?
- Derek Ellingson's National Provider Identifier (NPI) is 1487848644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Ellingson's specialty?
- Derek Ellingson is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Derek Ellingson located?
- Derek Ellingson's practice location on file with NPPES is 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140.
- What is Derek Ellingson's phone number?
- The practice phone number listed in the NPPES registry for Derek Ellingson is (260) 435-7001.
- Does Derek Ellingson accept Medicare?
- Derek Ellingson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Ellingson's NPI active?
- Yes — Derek Ellingson's NPI (1487848644) is active in the NPPES registry as of the last update on 2021-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.