Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARY JO ELNICK MD
NPI 1164404471
Ophthalmology in Southfield, MI

Active since November 14, 2005PECOS Enrolled
75/100
CMS Quality Rating
22250 PROVIDENCE DR, STE 304, SOUTHFIELD, MI 48075(248) 569-4366(248) 569-4614 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Jo Elnick Md NPPES

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

DR. MARY JO ELNICK MD (NPI 1164404471) is an individual ophthalmology provider in Southfield, Michigan, licensed in Michigan (ME404005) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Wayne State University School Of Medicine (1983).

NPPES Registry Identity

NPI1164404471
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARY JO ELNICKCredential: MD
Location Address22250 PROVIDENCE DR, STE 304Southfield, MI 48075
Mailing Address22250 Providence Dr, Ste 304Southfield, MI 48075 · (248) 569-4366 · Fax (248) 569-4614
Fax(248) 569-4614
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1983
Enumeration DateNovember 14, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1164404471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · ME404005
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
22250 PROVIDENCE DR, Southfield, MI 48075

Other Identifiers 1

Medicaid10275190MI

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

Dr. Mary Jo Elnick 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.

PECOS PAC ID8022902592
PECOS Enrollment IDI20110121000406
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 14

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
751 services662 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
300 services239 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
237 services216 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
213 services205 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
141 services123 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
122 services119 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Straith Hospital For Special Surgery

Acute Care Hospitals · Southfield, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230071
Location23901 LahserSouthfield, MI 48033 · Oakland County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

Pharmacist
22250 PROVIDENCE DR
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, 5TH FLOOR.FL 5
SOUTHFIELD, MI 48075
Colon & Rectal Surgery
22250 PROVIDENCE DR, SUITE 208
SOUTHFIELD, MI 48075
Internal Medicine (Gastroenterology)
22250 PROVIDENCE DR, SUITE 703
SOUTHFIELD, MI 48075
Orthopaedic Surgery
22250 PROVIDENCE DR, SUITE 401
SOUTHFIELD, MI 48075
Psychologist (Clinical)
22250 PROVIDENCE DR, SUITE 207
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, SUITE 500
SOUTHFIELD, MI 48075
Colon & Rectal Surgery
22250 PROVIDENCE DR, STE #702
SOUTHFIELD, MI 48075

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 Mary Elnick's NPI number?

The NPI number for Mary Elnick is 1164404471. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Mary Elnick located?

Mary Elnick practices at 22250 Providence Dr Ste 304, Southfield, MI 48075. The listed phone number is (248) 569-4366.

What is Mary Elnick's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mary Elnick enrolled in Medicare?

Yes. Mary Elnick 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 Mary Elnick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 6 other insurers list Mary Elnick 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 Mary Elnick affiliated with any hospitals?

According to CMS data, Mary Elnick is affiliated with Ascension Providence Hospital, Southfield And Novi and Straith Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Mary Elnick was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.