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DR. MICHAEL ELMORE M.D.
NPI 1164545000
Surgery - Surgical Oncology in Charleston, WV

Active since April 07, 2007PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3100 MACCORKLE AVE SE, STE 700, CHARLESTON, WV 25304(304) 556-3810(304) 347-1397 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Apr 6, 2022, Jan 7, 2021 (3 updates tracked since 2021).

About Dr. Michael Elmore M.d. NPPES

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

DR. MICHAEL ELMORE M.D. (NPI 1164545000) is an individual surgical oncology provider in Charleston, West Virginia, licensed in West Virginia (23506) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1164545000
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. MICHAEL ELMORECredential: M.D.
Location Address3100 MACCORKLE AVE SE, STE 700Charleston, WV 25304-1223
Mailing Address3110 Maccorkle Ave SeCharleston, WV 25304-1210 · (304) 347-1254
Phone(304) 556-3810
Fax(304) 347-1397
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2003
Enumeration DateApril 7, 2007
Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1164545000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in WV · 23506
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
3100 MACCORKLE AVE SE, Charleston, WV 25304
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1157 Skylar DrLewisburg, WV 24901-9359 · Phone (304) 793-2059 · Fax (304) 793-2059
Location 23200 MacCorkle Ave SECharleston, WV 25304-1227 · Phone (304) 388-5432
Location 3800 Pennsylvania AveCharleston, WV 25302-3351 · Phone (304) 388-5432
Location 41400 Hospital DrHurricane, WV 25526-9202 · Phone (304) 757-1700
Location 51320 Maplewood AveRonceverte, WV 24970-8016 · Phone (304) 647-4411
Location 6501 Morris StCharleston, WV 25301-1326 · Phone (304) 388-5432

Other Identifiers 1

Medicaid3810018913WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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. Michael Elmore 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 ID6901957158
PECOS Enrollment IDI20111027000846
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 10

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 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.
42 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm 11606
This procedure involves surgically removing a cancerous skin growth larger than 4.0 cm on your body, arms, or legs. It's a crucial step in preventing the spread of cancer. Local anesthesia is typically used, and recovery time varies. It's a common and safe procedure.
16 services16 patients
Biopsy of breast and placement of locating device using ultrasound, first growth 19083
A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$164.59 typical visit price
range $53.20 – $164.59
Typical copayment $41.14 (range $13.30 – $41.14)
Most-billed visit code 99205
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

DARSHANKUMAR ASHWINBHAI DAVE MD
Psychiatry & Neurology (Neurology)
3100 MACCORKLE AVE SE, SUITE 802
CHARLESTON, WV 25304
Kanawha County (304) 343-4400
DR. SCOTT EDWARD MILLER MD
Internal Medicine (Cardiovascular Disease)
3100 MACCORKLE AVE SE, SUITE 610
CHARLESTON, WV 25304
Kanawha County (304) 346-1141
KURT M. NELLHAUS, M.D.
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE, SUITE 806
CHARLESTON, WV 25304
Kanawha County (304) 344-9480
NANCY RABEL CANTERBURY MA
Psychologist (Clinical)
3100 MACCORKLE AVE SE, SUITE 401
CHARLESTON, WV 25304
Kanawha County (304) 346-6161
AMANDA L. NEWCOMER NP-C
Nurse Practitioner (Family)
3100 MACCORKLE AVE SE, SUITE 301
CHARLESTON, WV 25304
Kanawha County (304) 388-5395
MR. KATHLEEN A MANNION PA
Physician Assistant
3100 MACCORKLE AVE SE, SUITE 411
CHARLESTON, WV 25304
Kanawha County (304) 343-7576
JENNIFER J. HANCOCK PSY D
Psychologist (Clinical)
3100 MACCORKLE AVE SE, SUITE 101
CHARLESTON, WV 25304
Kanawha County (304) 388-8380
MRS. STACY ANNETTE CHURCH PA-C
Physician Assistant (Medical)
3100 MACCORKLE AVE SE, SUITE 610
CHARLESTON, WV 25304
Kanawha County (304) 346-1141

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 Michael Elmore's NPI number?

The NPI number for Michael Elmore is 1164545000. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Where is Michael Elmore located?

Michael Elmore practices at 3100 Maccorkle Ave SE Ste 700, Charleston, WV 25304. The listed phone number is (304) 556-3810.

What is Michael Elmore's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Michael Elmore enrolled in Medicare?

Yes. Michael Elmore 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 Michael Elmore accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Michael Elmore 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 Michael Elmore affiliated with any hospitals?

According to CMS data, Michael Elmore is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Elmore was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.