Heather Ellsworth, MD
NPI 1942473335 · Emergency Medicine Physician · St Paul, MN
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Ellsworth, MD is a Emergency Medicine Physician provider in St Paul, MN (NPI 1942473335).
Provider details
- NPI number
- 1942473335
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 52983 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 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
315 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 208 | $160 |
| Critical Care, First 30-74 Minutes99291 | 58 | $195 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 49 | $109 |
Typical Medicare-allowed amounts for these services range $109–$195 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 27 | 27 |
| Ondansetronbrand: Ondansetron Odt | 16 | 16 |
| Cephalexin | 14 | 14 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 11 | — |
| Azithromycin | 11 | 11 |
| Prednisone | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-08
- Last updated
- 2011-02-15
Frequently asked questions
- What is Heather Ellsworth's NPI number?
- Heather Ellsworth's National Provider Identifier (NPI) is 1942473335, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Ellsworth's specialty?
- Heather Ellsworth is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Heather Ellsworth located?
- Heather Ellsworth's practice location on file with NPPES is 640 Jackson Street, St Paul, MN 55101.
- What is Heather Ellsworth's phone number?
- The practice phone number listed in the NPPES registry for Heather Ellsworth is (651) 254-3456.
- Does Heather Ellsworth accept Medicare?
- Heather Ellsworth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Ellsworth's NPI active?
- Yes — Heather Ellsworth's NPI (1942473335) is active in the NPPES registry as of the last update on 2011-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.