JOHN C MCELROY M.D.
NPI 1154619971
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Flower Mound, TX

Active since July 13, 2011PECOS EnrolledAccepts Medicare Assignment
81.71/100
CMS Quality Rating
5000 LONG PRAIRIE RD STE 100, FLOWER MOUND, TX 75028(972) 420-1776 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2021, Jul 26, 2018, Jan 15, 2018 and 3 more (6 updates tracked since 2016).

About John C Mcelroy M.d. NPPES

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

JOHN C MCELROY M.D. (NPI 1154619971) is an individual orthopaedic surgery of the spine provider in Flower Mound, Texas, licensed in Texas (Q4202) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Medical City Lewisville, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2011).

NPPES Registry Identity

NPI1154619971
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameJOHN C MCELROYCredential: M.D.
Location Address5000 LONG PRAIRIE RD STE 100Flower Mound, TX 75028
Mailing Address5000 Long Prairie Rd Ste 100Flower Mound, TX 75028-2783 · (972) 420-1776 · Fax (214) 222-6674
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2011
Enumeration DateJuly 13, 2011
Last NPPES UpdateMarch 25, 20216 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
NPI 1154619971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in TX · Q4202
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License Q4202 (TX)
5000 LONG PRAIRIE RD STE 100, Flower Mound, TX 75028

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John C Mcelroy M.d. 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.

PECOS PAC ID3870801145
PECOS Enrollment IDI20151006002711
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.

Areas of Expertise CMS Part B claims 28

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
904 services573 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
351 services209 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
284 services284 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
134 services69 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
125 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
119 services119 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Lewisville

Acute Care Hospitals · Lewisville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450669
Location500 West Main StreetLewisville, TX 75057 · Denton County
Emergency services Birthing friendly

Dallas Regional Medical Center

Acute Care Hospitals · Mesquite, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450688
Location1011 North Galloway AvenueMesquite, TX 75149 · Dallas County
Emergency services Birthing friendly
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450730
Location4343 North Josey LaneCarrollton, TX 75010 · Denton County

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670068
Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County
Emergency services Birthing friendly

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

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.

81.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.64
Promoting Interoperability100
Improvement Activities40
Cost43.4

Reported Quality Measures

Advance Care Plan
28%1,010 patients2/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
94%760 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
94%3,538 patients4/55-star benchmark: 100%
e-Prescribing
99%1,464 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
87%965 patients4/55-star benchmark: 100%
Osteoporosis Management in Women Who Had a Fracture
28%25 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
87%2,059 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 1,337 patients
Patients screened: 99% · 1,337 patients
97%91 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%1,266 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
4%569 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,023 patients
Patients totalRate: 16% · 1,023 patients
16%1,023 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cervical, multiple post collar, occipital/mandibular supports, adjustable L0180
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$320.17 avg. paid by Medicare
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0642
DME-Orthotic Devices · category DF007N
2 suppliers12 claims12 services$175.15 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
2 suppliers22 claims22 services$502.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Durable Medical Equipment & Medical Supplies
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Orthopaedic Surgery (Hand Surgery)
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Registered Nurse (Registered Nurse First Assistant)
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Nurse Practitioner
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Physician Assistant (Surgical)
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028
Orthopaedic Surgery
5000 LONG PRAIRIE RD STE 100
FLOWER MOUND, TX 75028

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 John Mcelroy's NPI number?

The NPI number for John Mcelroy is 1154619971. It was assigned to this individual provider in the NPPES registry on July 13, 2011.

Where is John Mcelroy located?

John Mcelroy practices at 5000 Long Prairie Rd Ste 100, Flower Mound, TX 75028. The listed phone number is (972) 420-1776.

What is John Mcelroy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is John Mcelroy enrolled in Medicare?

Yes. John Mcelroy 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.

What insurance does John Mcelroy accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list John Mcelroy 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 John Mcelroy affiliated with any hospitals?

According to CMS data, John Mcelroy is affiliated with Medical City Lewisville, Dallas Regional Medical Center, Sana Healthcare Carrollton D/B/A Carrollton Regional Medical Center, Texas Health Presbyterian Hospital Flower Mound and Methodist Hospital For Surgery.

When was this NPI record last updated?

The NPPES record for John Mcelroy was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.