PETER I ELLMAN MD
NPI 1053529214
Surgery in Pinehurst, NC

Active since May 20, 2007PECOS EnrolledAccepts Medicare Assignment
96.25/100
CMS Quality Rating
155 MEMORIAL DR, PINEHURST, NC 28374(910) 715-4111 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter I Ellman Md NPPES

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

PETER I ELLMAN MD (NPI 1053529214) is an individual surgery provider in Pinehurst, North Carolina, licensed in Virginia (0101232927) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2000).

NPPES Registry Identity

NPI1053529214
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePETER I ELLMANCredential: MD
Location Address155 MEMORIAL DRPinehurst, NC 28374-8710
Mailing AddressPo Box 843257Boston, MA 02284-3257 · (910) 715-4111 · Fax (910) 715-4101
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2000
Enumeration DateMay 20, 2007
Last NPPES UpdateMarch 11, 2013
NPI 1053529214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in VA · 0101232927
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.
155 MEMORIAL DR, Pinehurst, NC 28374

Accepted 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

Peter I Ellman 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 ID1557414091
PECOS Enrollment IDI20090731000473
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 4

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.
53 services46 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.
22 services13 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.
21 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

96.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.3
Promoting Interoperability85
Improvement Activities40
Cost97.87

Reported Quality Measures

Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery
Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.
96%135 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%142 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Dietitian, Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Emergency Medicine (Emergency Medical Services)
155 MEMORIAL DR
PINEHURST, NC 28374
Emergency Medicine (Emergency Medical Services)
155 MEMORIAL DR
PINEHURST, NC 28374
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Psychiatry & Neurology (Neurology)
155 MEMORIAL DR
PINEHURST, NC 28374
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
PINEHURST, NC 28374
Anesthesiology
155 MEMORIAL DR
PINEHURST, NC 28374

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 Peter Ellman's NPI number?

The NPI number for Peter Ellman is 1053529214. It was assigned to this individual provider in the NPPES registry on May 20, 2007.

Where is Peter Ellman located?

Peter Ellman practices at 155 Memorial Dr, Pinehurst, NC 28374. The listed phone number is (910) 715-4111.

What is Peter Ellman's specialty?

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

Is Peter Ellman enrolled in Medicare?

Yes. Peter Ellman 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 Peter Ellman accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Peter Ellman 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 Peter Ellman affiliated with any hospitals?

According to CMS data, Peter Ellman is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Peter Ellman was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.