ERIC ELTON MD
NPI 1073543906
Internal Medicine - Gastroenterology in Rockport, ME
About Eric Elton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIC ELTON MD (NPI 1073543906) is an individual gastroenterology provider in Rockport, Maine, licensed in Maine (MD14203) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Penobscot Bay Medical Center, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1990).
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
Eric Elton 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 Reassignments
2Medicare enrollment records show Eric Elton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockport, ME 04856
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Evanston, IL 60201
- Reassigned Medicare billing, Illinois enrollment
- 4,841 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 8
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.
Penobscot Bay Medical Center
Acute Care Hospitals · Rockport, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04856 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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKPORT, ME 04856
ROCKPORT, ME 04856
ROCKPORT, ME 04856
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 Eric Elton's NPI number?
The NPI number for Eric Elton is 1073543906. It was assigned to this individual provider in the NPPES registry on July 4, 2006.
Where is Eric Elton located?
Eric Elton practices at 4 Glen Cove Dr Ste 10, Rockport, ME 04856. The listed phone number is (207) 301-5790.
What is Eric Elton's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Eric Elton enrolled in Medicare?
Yes. Eric Elton 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 organizations bill Medicare for Eric Elton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eric Elton reassigns Medicare benefits to 2 organizations: Mainehealth (Rockport, ME) and Endeavor Health Medical Group (Evanston, IL). Each 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 Eric Elton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eric Elton accept?
Health plans from Harvard Pilgrim Health Care and Taro Health list Eric Elton 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 Eric Elton affiliated with any hospitals?
According to CMS data, Eric Elton is affiliated with Penobscot Bay Medical Center.
When was this NPI record last updated?
The NPPES record for Eric Elton was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Eric Elton, MD · NPI 1073543906
Gastroenterology physician in Rockport, Maine. Individual provider, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1073543906 (Entity type: Individual)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** MD14203 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 4 GLEN COVE DR STE 10, Rockport, ME 04856-4235
- **Phone:** (207) 301-5790 · **Fax:** (207) 301-5310
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Mainehealth (NPI 1578043378, Rockport, ME); Endeavor Health Medical Group (NPI 1265695944, Evanston, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Perelman School Of Med At The University Of Pennsylvania, class of 1990
## Record status
- **NPPES last updated:** February 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073543906) · Data from the CMS NPPES public registry.