ELISA PRATIMA MOHAN MD
NPI 1033606603
Internal Medicine in Macon, GA

Active since April 18, 2018PECOS EnrolledAccepts Medicare Assignment
78.65/100
CMS Quality Rating

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elisa Pratima Mohan Md NPPES

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

ELISA PRATIMA MOHAN MD (NPI 1033606603) is an individual internal medicine provider in Macon, Georgia, licensed in Georgia (10590) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and maintains a secondary practice location in Macon.

NPPES Registry Identity

NPI1033606603
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELISA PRATIMA MOHANCredential: MD
Location Address764 PINE STMacon, GA 31201-2107
Mailing Address764 Pine StMacon, GA 31201-2107 · (478) 301-5824
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 18, 2018
Last NPPES UpdateJune 24, 2019
NPI 1033606603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 10590
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

764 PINE ST, Macon, GA 31201

Secondary Practice Location 1

Location 1380 Hospital Drive, Building A, Suite 430Macon, GA 31217 · Phone (478) 751-0480

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

Elisa Pratima Mohan Md 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 ID7719212414
PECOS Enrollment IDI20220927001084
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 5

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 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.
797 services324 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
274 services270 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
26 services20 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
26 services20 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

78.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.4
Improvement Activities40
Cost56.9

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.

Obstetrics & Gynecology
764 PINE ST
MACON, GA 31201
Physician Assistant
764 PINE ST
MACON, GA 31201
Obstetrics & Gynecology
764 PINE ST
MACON, GA 31201
Pharmacist (Ambulatory Care)
764 PINE ST
MACON, GA 31201
Internal Medicine
764 PINE ST
MACON, GA 31201
Internal Medicine (Cardiovascular Disease)
764 PINE ST
MACON, GA 31201
Internal Medicine
764 PINE ST
MACON, GA 31201
Internal Medicine
764 PINE ST
MACON, GA 31201

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 Elisa Mohan's NPI number?

The NPI number for Elisa Mohan is 1033606603. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Elisa Mohan located?

Elisa Mohan practices at 764 Pine St, Macon, GA 31201. The listed phone number is (478) 301-5824.

What is Elisa Mohan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elisa Mohan enrolled in Medicare?

Yes. Elisa Mohan 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.

Is Elisa Mohan affiliated with any hospitals?

According to CMS data, Elisa Mohan is affiliated with University Of MD Baltimore Washington Medical Center.

When was this NPI record last updated?

The NPPES record for Elisa Mohan was last updated on June 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.