DR. JACQUELYN PELHAM MD
NPI 1144292954
Obstetrics & Gynecology - Maternal & Fetal Medicine in Baltimore, MD
About Dr. Jacquelyn Pelham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELYN PELHAM MD (NPI 1144292954) is an individual maternal & fetal medicine provider in Baltimore, Maryland, licensed in Maryland (D66999) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (1997).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Jacquelyn Pelham 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 Jacquelyn Pelham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21229
- Reassigned Medicare billing, Maryland enrollment
- 372 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21229 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacquelyn Pelham's NPI number?
The NPI number for Jacquelyn Pelham is 1144292954. It was assigned to this individual provider in the NPPES registry on February 6, 2006.
Where is Jacquelyn Pelham located?
Jacquelyn Pelham practices at 900 Caton Ave, Baltimore, MD 21229. The listed phone number is (667) 234-2523.
What is Jacquelyn Pelham's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.
Is Jacquelyn Pelham enrolled in Medicare?
Yes. Jacquelyn Pelham 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 Jacquelyn Pelham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Pelham reassigns Medicare benefits to St. Agnes Healthcare, Inc. (Baltimore, MD). 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 Jacquelyn Pelham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacquelyn Pelham was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Jacquelyn Pelham, MD · NPI 1144292954
Maternal & Fetal Medicine physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since February 6, 2006.
## Identity
- **NPI:** 1144292954 (Entity type: Individual)
- **Enumerated:** February 6, 2006
- **Primary specialty:** Obstetrics & Gynecology - Maternal & Fetal Medicine · taxonomy 207VM0101X
- **State license:** D66999 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 CATON AVE, Baltimore, MD 21229-5201
- **Phone:** (667) 234-2523 · **Fax:** (667) 234-3563
## 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:** St. Agnes Healthcare, Inc. (NPI 1164462925, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Eastern Virginia Medical School, class of 1997
## Record status
- **NPPES last updated:** April 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1144292954) · Data from the CMS NPPES public registry.