PETER I ELLMAN MD
NPI 1053529214
Surgery in Pinehurst, NC
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Peter Ellman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pinehurst, NC 28374
- Reassigned Medicare billing, North Carolina enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NCPhysician 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.
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.
Reported Quality Measures
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.
PINEHURST, NC 28374
PINEHURST, NC 28374
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.
Which organization bills Medicare for Peter Ellman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Ellman reassigns Medicare benefits to Mcpc-10, LLC (Pinehurst, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Ellman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Ellman accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers 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.
# Peter I Ellman, MD · NPI 1053529214
Surgery physician in Pinehurst, North Carolina. Individual provider, active in the CMS NPPES registry since May 20, 2007.
## Identity
- **NPI:** 1053529214 (Entity type: Individual)
- **Enumerated:** May 20, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 0101232927 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 155 MEMORIAL DR, Pinehurst, NC 28374-8710
- **Phone:** (910) 715-4111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mcpc-10, LLC (NPI 1457600504, Pinehurst, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Perelman School Of Med At The University Of Pennsylvania, class of 2000
## Record status
- **NPPES last updated:** March 11, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1053529214) · Data from the CMS NPPES public registry.