ELAINE L GOLDHAMMER MD
NPI 1053353987
Hospitalist in Ephrata, PA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
169 MARTIN AVE, EPHRATA, PA 17522(717) 721-4740 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Sep 12, 2024, Jun 10, 2024 and 1 more (4 updates tracked since 2022).

About Elaine L Goldhammer Md NPPES

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

ELAINE L GOLDHAMMER MD (NPI 1053353987) is an individual hospitalist provider in Ephrata, Pennsylvania, licensed in Pennsylvania (MD444320) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053353987
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameELAINE L GOLDHAMMERCredential: MD
Location Address169 MARTIN AVEEphrata, PA 17522-1734
Mailing Address565 Coal Valley RdJefferson Hills, PA 15025-3703 · (412) 267-6810 · Fax (412) 267-6817
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1994
Enumeration DateJune 12, 2006
Last NPPES UpdateDecember 17, 20244 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
NPI 1053353987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in PA · MD444320 Licensed in TX · N3051 Licensed in NJ · 25MA07992200
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License N3051 (TX), MD444320 (PA)
169 MARTIN AVE, Ephrata, PA 17522

Secondary Practice Locations 2

Location 1100 Medical BlvdCanonsburg, PA 15317-9762 · Phone (412) 359-3030 · Fax (412) 359-3060
Location 2252 S 4th St Fl 2Lebanon, PA 17042-6111 · Phone (717) 270-4876 · Fax (717) 270-3875

Other Identifiers 2

Medicaid204494301TX
Medicaid204494302TX

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

Elaine L Goldhammer 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 ID8527012442
PECOS Enrollment IDI20120706000459
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 7

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.

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.
315 services308 patients
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.
75 services46 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.
26 services26 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
169 MARTIN AVE
EPHRATA, PA 17522
Nurse Anesthetist, Certified Registered
169 MARTIN AVE
EPHRATA, PA 17522
Hospitalist
169 MARTIN AVE
EPHRATA, PA 17522
Speech-Language Pathologist
169 MARTIN AVE
EPHRATA, PA 17522
Emergency Medicine
169 MARTIN AVE
EPHRATA, PA 17522
Student in an Organized Health Care Education/Training Program
169 MARTIN AVE
EPHRATA, PA 17522
Nurse Practitioner (Family)
169 MARTIN AVE
EPHRATA, PA 17522
Psychiatry & Neurology (Psychiatry)
169 MARTIN AVE
EPHRATA, PA 17522

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 Elaine Goldhammer's NPI number?

The NPI number for Elaine Goldhammer is 1053353987. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Elaine Goldhammer located?

Elaine Goldhammer practices at 169 Martin Ave, Ephrata, PA 17522. The listed phone number is (717) 721-4740.

What is Elaine Goldhammer's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Elaine Goldhammer enrolled in Medicare?

Yes. Elaine Goldhammer 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 Elaine Goldhammer affiliated with any hospitals?

According to CMS data, Elaine Goldhammer is affiliated with Hospital Of Univ Of Pennsylvania, Paoli Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Elaine Goldhammer was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.