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MS. COLLEEN MCELHINNEY PA-C
NPI 1235539354
Physician Assistant in Haymarket, VA

Active since August 26, 2014PECOS EnrolledAccepts Medicare Assignment
15195 HEATHCOTE BLVD STE 230, HAYMARKET, VA 20169(703) 743-7542 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2019, Jul 23, 2018 (2 updates tracked since 2018).

About Ms. Colleen Mcelhinney Pa-c NPPES

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

MS. COLLEEN MCELHINNEY PA-C (NPI 1235539354) is an individual physician assistant in Haymarket, Virginia, licensed in Virginia (0110004609) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Novant Health Uva Health System Culpeper Med Cente, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1235539354
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. COLLEEN MCELHINNEYCredential: PA-C
Location Address15195 HEATHCOTE BLVD STE 230Haymarket, VA 20169
Mailing Address11350 Mccormick Road, Executive Plaza 1, Suite 501Hunt Valley, MD 21031 · (410) 329-1071 · Fax (410) 329-1054
Phone(703) 743-7542
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 26, 2014
Last NPPES UpdateJuly 10, 20192 updates tracked since enumeration
✔ NPI 1235539354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110004609
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15195 HEATHCOTE BLVD STE 230, Haymarket, VA 20169
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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

Ms. Colleen Mcelhinney Pa-c 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 ID2163643230
PECOS Enrollment IDI20141107000760
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.

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.
333 services185 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.
308 services172 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
188 services29 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.
81 services81 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
76 services26 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
56 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Fauquier Hospital

Acute Care Hospitals · Warrenton, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490023
Location500 Hospital DriveWarrenton, VA 20186 · Fauquier County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20169 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Reported Quality Measures

Documentation of Signed Opioid Treatment Agreement
All patients 18 and older prescribed opiates for longer than six weeks duration who signed an opioid treatment agreement at least once during Opioid Therapy documented in the medical record
59%56 patients3/55-star benchmark: 100%
Evaluation or Interview for Risk of Opioid Misuse
All patients 18 and older prescribed opiates for longer than six weeks duration evaluated for risk of opioid misuse using a brief validated instrument (e.g. Opioid Risk Tool, SOAPP-R) or patient interview documented at least once during Opioid Therapy in the…
98%58 patients4/55-star benchmark: 100%
Opioid Therapy Follow-up Evaluation
All patients 18 and older prescribed opiates for longer than six weeks duration who had a follow-up evaluation conducted at least every three months during Opioid Therapy documented in the medical record
42%55 patients2/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
96%1,103 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%950 patients1/55-star benchmark: 97%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 386 patients
15%386 patients2/55-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.

Other Providers at the Same Location NPPES

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

CANDY FAVIOLA SUAREZ PA-C
Physician Assistant
15195 HEATHCOTE BLVD STE 230
HAYMARKET, VA 20169
Prince William County (703) 914-8000

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 Colleen Mcelhinney's NPI number?

The NPI number for Colleen Mcelhinney is 1235539354. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Colleen Mcelhinney located?

Colleen Mcelhinney practices at 15195 Heathcote Blvd Ste 230, Haymarket, VA 20169. The listed phone number is (703) 743-7542.

What is Colleen Mcelhinney's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Colleen Mcelhinney enrolled in Medicare?

Yes. Colleen Mcelhinney 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.

Is Colleen Mcelhinney affiliated with any hospitals?

According to CMS data, Colleen Mcelhinney is affiliated with Novant Health Uva Health System Culpeper Med Cente, Fauquier Hospital and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Colleen Mcelhinney was last updated on July 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.