EMMETT TERRANCE MCELENEY M.D. NPI 1093790115

Orthopaedic Surgery in Rapid City, SD

NPI 1093790115 Individual Male Years of Experience 33 Orthopaedic Surgery PECOS Enrolled Accepts Medicare Approved Payment

About EMMETT MCELENEY

Emmett Mceleney is a provider established in Rapid City, South Dakota and his medical specialization is orthopaedic surgery with more than 33 years of experience. He graduated from University Of California, Geffen School Of Medicine in 1989. The NPI number of Emmett Mceleney is 1093790115 and was assigned on December 2005. The practitioner's primary taxonomy code is 207X00000X with license number 9403 (SD). The provider is registered as an individual and his NPI record was last updated 6 years ago.

Emmett Mceleney is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Emmett Mceleney is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Black Hills Surgical Hospital Llp, Weston County Health Services, Southwest Healthcare Services and Monument Health Rapid City Hospital.

NPI

1093790115

Provider Name EMMETT TERRANCE MCELENEY M.D.
Provider Location Address7220 S HIGHWAY 16 RAPID CITY, SD 57702
Provider Mailing Address7220 S HIGHWAY 16 RAPID CITY, SD 57702
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year1989
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date12-13-2005
Last Update Date09-18-2015


Primary Taxonomy

Taxonomy Code207X00000X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
License No.9403
License StateSD
Taxonomy DescriptionAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Business Address

EMMETT TERRANCE MCELENEY M.D.
7220 S HIGHWAY 16
RAPID CITY, SD
ZIP 57702
Phone: (605) 341-1414
Fax: (605) 341-7062

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Mailing Address

EMMETT TERRANCE MCELENEY M.D.
7220 S HIGHWAY 16
RAPID CITY, SD
ZIP 57702
Phone: (605) 341-1414
Fax: (605) 341-7062



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6709784457
PECOS Enrollment IDI20160127001130, I20170214002796
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 40Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 18X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Emmett Mceleney is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BLACK HILLS SURGICAL HOSPITAL LLP216 ANAMARIA DR
RAPID CITY, SD 57703
(605) 721-4700Acute Care Hospitals430091
WESTON COUNTY HEALTH SERVICES1124 WASHINGTON BOULEVARD
NEWCASTLE, WY 82701
(307) 746-4491Critical Access Hospitals531303
SOUTHWEST HEALTHCARE SERVICES802 2ND ST NW
BOWMAN, ND 58623
(701) 523-5265Critical Access Hospitals351313
MONUMENT HEALTH RAPID CITY HOSPITAL353 FAIRMONT BLVD POST OFFICE BOX 6000
RAPID CITY, SD 57701
(605) 755-1000Acute Care Hospitals430077

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery36268AZNo

Taxonomy Description: an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
160201MEDICAID (05)AZ
S109005MEDICARE PIN (08)SD
117023MEDICARE PIN (08)AZ
F98813MEDICARE UPIN (02)AZ
P00439253MEDICARE PIN (08)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144209818DR. MARK L HARLOW MD
Individual
Orthopaedic Surgery7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1538148846DR. TIMOTHY J GILL MD
Individual
Orthopaedic Surgery7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1457321010 LAURA A BONSNESS PT
Individual
Physical Therapist7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1174593792 MATTHEW SAILORS RPT
Individual
Physical Therapist7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1952371585 PATRICK PERSON RPT
Individual
Physical Therapist7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1033189683 LAURA BROTEN RPT
Individual
Physical Therapist7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1114097037 JEFFREY A PARKER PT
Individual
Physical Therapist7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1417028358 KATIE LYNN STEEVER RPT
Individual
Physical Therapist7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1063587699 WENDY DELO P.T. ASSISTANT
Individual
Physical Therapy Assistant7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1073727897 SAMUEL L MORTIMER MD
Individual
Orthopaedic Surgery7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1730342809 HEATHER ANN WILLIAMSON P.T.
Individual
Physical Therapist7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1962633362 JOLEEN WILSON P.T.
Individual
Physical Therapist7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1144201708 MARY ANN MARRS CNP
Individual
Clinical Nurse Specialist7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1083860589 DALE FLINT
Individual
Physical Therapist7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1881674547DR. STUART E FROMM MD
Individual
Orthopaedic Surgery7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1427038173DR. RAND L SCHLEUSENER MD
Individual
Orthopaedic Surgery7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1114907797 STEPHEN G.J. ECKRICH MD
Individual
Orthopaedic Surgery7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1376523969DR. CLARK C DUCHENE MD
Individual
Orthopaedic Surgery7220 S HIGHWAY 16
RAPID CITY, SD 57702
(604) 341-1414
1093795767DR. JEFF S MARRS MD
Individual
Orthopaedic Surgery7220 S HIGHWAY 16
RAPID CITY, SD 57702
(605) 341-1414
1871759522 STEVEN ADAM GIUSEFFI M.D.
Individual
Orthopaedic Surgery7220 S HIGHWAY 16 BLACK HILLS ORTHOPEDIC AND SPINE CENTER
RAPID CITY, SD 57702
(605) 341-1414

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.