Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew McKinley Ellsworth, DPM

Individual provider Podiatrist · NPI 1124387618

Matthew McKinley Ellsworth, DPM is a Podiatry in Ashland, Kentucky. Qualified in 2012, 14 years ago. Practices with Intermountain Medical Group Grand Junction, LLC, a 299-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
14
Licensed in
KY, OH
In the registry since
2012
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

613 23rd St Ste G30
Ashland, KY 41101-2881
Phone: (606) 327-0036
Fax: (606) 326-1159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2483 Highway 644 Ste 103, Louisa, KY 41230-9242 — (606) 638-9954
  • 2001 Scioto Trl Ste 200, Portsmouth, OH 45662-2845 — (740) 353-8100

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 00426 (KY)
Podiatrist Taxonomy 213E00000X · Licence 36.003921 (OH)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence 00426 (KY)

Record details

NPI number1124387618
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 3, 2012
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Intermountain Medical Group Grand Junction, Llc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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