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JAMES A MCELROY MD FACS
NPI 1013956861
Surgery in Marietta, OH

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
400 MATTHEW ST, STE 401, MARIETTA, OH 45750(740) 374-2252(740) 374-4974 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2020, Jun 1, 2020 (2 updates tracked since 2020).

About James A Mcelroy Md Facs NPPES

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

JAMES A MCELROY MD FACS (NPI 1013956861) is an individual surgery provider in Marietta, Ohio, licensed in Ohio (35073417M) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Camden Clark Medical Center, and is a graduate of Ohio State University College Of Medicine (1996).

NPPES Registry Identity

NPI1013956861
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES A MCELROYCredential: MD FACS
Location Address400 MATTHEW ST, STE 401Marietta, OH 45750-1662
Mailing AddressPo Box 449Marietta, OH 45750-0449 · (740) 374-4500 · Fax (740) 374-5887
Phone(740) 374-2252
Fax(740) 374-4974
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 1996
Enumeration DateJune 6, 2006
Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1013956861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35073417M
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
400 MATTHEW ST, Marietta, OH 45750
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Other Names 1

Professional Name (2)J Allen Mcelroy Md Facs

Other Identifiers 5

Medicaid1000127000WV
Other000000696938OH · Anthem
Other000000490580OH · Anthem
OtherP00475910OH · Rrmcr
Medicaid2206348OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

James A Mcelroy Md Facs 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 ID9436157369
PECOS Enrollment IDI20061201000048, I20221207000510
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services69 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
84 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ALYSE SHAPAKA PA
Physician Assistant
400 MATTHEW ST, SUITE 200
MARIETTA, OH 45750
Washington County (740) 434-0565
CHARLES LEWIS LEVY MD
Neurological Surgery
400 MATTHEW ST, SUITE 401
MARIETTA, OH 45750
Washington County (740) 374-2252
ROBERT A MCKINLEY M.D., F.C.C.P.
Internal Medicine (Pulmonary Disease)
400 MATTHEW ST, SUITE 305
MARIETTA, OH 45750
Washington County (740) 568-5662
JENNIFER E GODWIN MD
Obstetrics & Gynecology
400 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 373-4111
JONATHAN ROBERT ROYLANCE MD
Internal Medicine
400 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 376-1994
KRISTEVA JO KNAB PA-C
Physician Assistant
400 MATTHEW ST, SUITE 401
MARIETTA, OH 45750
Washington County (740) 374-2252
VIVEK V ABHYANKAR MD
Internal Medicine (Hematology & Oncology)
400 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 376-5000
MR. KEITH N HOWELL AT
Specialist/Technologist (Athletic Trainer)
400 MATTHEW ST
MARIETTA, OH 45750
Washington County (513) 532-2670

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 James Mcelroy's NPI number?

The NPI number for James Mcelroy is 1013956861. It was assigned to this individual provider in the NPPES registry on June 6, 2006. The provider is also known as J Allen Mcelroy MD Facs.

Where is James Mcelroy located?

James Mcelroy practices at 400 Matthew St Ste 401, Marietta, OH 45750. The listed phone number is (740) 374-2252.

What is James Mcelroy's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Mcelroy enrolled in Medicare?

Yes. James Mcelroy 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 James Mcelroy accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list James Mcelroy 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.

Is James Mcelroy affiliated with any hospitals?

According to CMS data, James Mcelroy is affiliated with Camden Clark Medical Center.

When was this NPI record last updated?

The NPPES record for James Mcelroy was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.