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CALEB ELMORE NP-C
NPI 1013322288
Nurse Practitioner in Tuscaloosa, AL

Active since June 26, 2014PECOS EnrolledAccepts Medicare Assignment
91.1/100
CMS Quality Rating
701 UNIVERSITY BLVD E STE 400, TUSCALOOSA, AL 35401(205) 752-0694(205) 752-6244 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Caleb Elmore Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALEB ELMORE NP-C (NPI 1013322288) is an individual nurse practitioner in Tuscaloosa, Alabama, licensed in Alabama (1-122173) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1013322288
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCALEB ELMORECredential: NP-C
Location Address701 UNIVERSITY BLVD E STE 400Tuscaloosa, AL 35401-7428
Mailing Address701 University Blvd E Ste 400Tuscaloosa, AL 35401-7428 · (205) 752-0694 · Fax (205) 752-6244
Phone(205) 752-0694
Fax(205) 752-6244
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 26, 2014
Last NPPES UpdateSeptember 3, 2014
✔ NPI 1013322288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-122173
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
701 UNIVERSITY BLVD E STE 400, Tuscaloosa, AL 35401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caleb Elmore Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416179585
PECOS Enrollment IDI20141105002643
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.15
Promoting Interoperability97
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JUSTIN WAYNE SISK NP-C
Nurse Practitioner (Family)
701 UNIVERSITY BLVD E STE 400
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 752-0694
DRUID CITY PHYSICIAN SERVICES, LLC
Internal Medicine (Interventional Cardiology)
701 UNIVERSITY BLVD E STE 400
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 752-0694
ELIZABETH ARDOIN GLASS CRNP
Nurse Practitioner (Family)
701 UNIVERSITY BLVD E STE 400
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 752-0694

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caleb Elmore's NPI number?

The NPI number for Caleb Elmore is 1013322288. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Caleb Elmore located?

Caleb Elmore practices at 701 University Blvd E Ste 400, Tuscaloosa, AL 35401. The listed phone number is (205) 752-0694.

What is Caleb Elmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Caleb Elmore enrolled in Medicare?

Yes. Caleb Elmore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Caleb Elmore accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Caleb Elmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caleb Elmore was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.