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ELIZABETH ELLEN GLEGHORN M.D.
NPI 1093809659
Pediatrics - Pediatric Gastroenterology in Oakland, CA

Active since October 03, 2006PECOS Enrolled
75/100
CMS Quality Rating
747 52ND STREET, OAKLAND, CA 94609(510) 428-3058 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elizabeth Ellen Gleghorn M.d. NPPES

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

ELIZABETH ELLEN GLEGHORN M.D. (NPI 1093809659) is an individual pediatric gastroenterology provider in Oakland, California, licensed in California (G48774) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093809659
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameELIZABETH ELLEN GLEGHORNCredential: M.D.
Location Address747 52ND STREETOakland, CA 94609
Mailing Address747 52nd StreetOakland, CA 94609 · (510) 428-3058
Phone(510) 428-3058
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
✔ NPI 1093809659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in CA · G48774
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedSpecialistTaxonomy 174400000X · License G 48774 (CA)
747 52ND STREET, Oakland, CA 94609
Open in Google Maps ↗

Other Identifiers 1

OtherG48774CA · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Ellen Gleghorn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

SARAH DURNEY
Student in an Organized Health Care Education/Training Program
747 52ND STREET, SUITE 245
OAKLAND, CA 94609
Alameda County (510) 428-3331
CAROL KO-HAN LIN
Student in an Organized Health Care Education/Training Program
747 52ND STREET, CHILDREN'S HOSPITAL RESEARCH CENTER OAKLAND
OAKLAND, CA 94609
Alameda County (510) 428-3000
DR. JUNE MARIE TESTER MD
Pediatrics
747 52ND STREET
OAKLAND, CA 94609
Alameda County (510) 428-3000
SUSAN MORRIS TURPIN R.N., PNP
Nurse Practitioner (Pediatrics, Critical Care)
747 52ND STREET
OAKLAND, CA 94609
Alameda County (510) 428-3380
MRS. BRITTA CHRISTINE SALVETTI MD
Pediatrics
747 52ND STREET, MEDICAL EDUCATION
OAKLAND, CA 94609
Alameda County (510) 428-3000
DR. LACEY MARIE MILLER DO
Student in an Organized Health Care Education/Training Program
747 52ND STREET
OAKLAND, CA 94609
Alameda County (510) 428-3331
DR. THOMAS DURAND REED M.D.
Pediatrics (Pediatric Critical Care Medicine)
747 52ND STREET, CHILDREN'S HOSPITAL - OAKLAND
OAKLAND, CA 94609
Alameda County (510) 428-3710
MADHAV VISSA
Pediatrics (Pediatric Hematology-Oncology)
747 52ND STREET
OAKLAND, CA 94609
Alameda County (510) 428-3000

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 Elizabeth Gleghorn's NPI number?

The NPI number for Elizabeth Gleghorn is 1093809659. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Elizabeth Gleghorn located?

Elizabeth Gleghorn practices at 747 52nd Street, Oakland, CA 94609. The listed phone number is (510) 428-3058.

What is Elizabeth Gleghorn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Elizabeth Gleghorn enrolled in Medicare?

Yes. Elizabeth Gleghorn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Gleghorn was last updated on August 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.