JOHN NICHOLS ELGIN M.D.
NPI 1306866199
Pathology - Anatomic Pathology & Clinical Pathology in Alexander City, AL

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
84.17/100
CMS Quality Rating
3316 HIGHWAY 280, ALEXANDER CITY, AL 35010(256) 329-7295(256) 329-7186 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Nichols Elgin M.d. NPPES

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

JOHN NICHOLS ELGIN M.D. (NPI 1306866199) is an individual anatomic pathology & clinical pathology provider in Alexander City, Alabama, licensed in Alabama (18422) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with North Texas Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1306866199
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJOHN NICHOLS ELGINCredential: M.D.
Location Address3316 HIGHWAY 280Alexander City, AL 35010-3369
Mailing Address987 Smith Mountain DrJacksons Gap, AL 36861-2540 · (256) 329-7295
Fax(256) 329-7186
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1306866199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in AL · 18422
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3316 HIGHWAY 280, Alexander City, AL 35010

Other Identifiers 4

Medicaid00076882AL
Medicare UPING70009AL
Other51076882AL · Blue Cross Provider Numbe
Medicare ID-Type Unspecified51076882AL · Medicare Provider Number

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 Nichols Elgin 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 ID2466641840
PECOS Enrollment IDI20240607000491
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.

Hospital Affiliations CMS Care Compare 5

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

North Texas Medical Center

Acute Care Hospitals · Gainesville, TX
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450090
Location1900 Hospital BlvdGainesville, TX 76240 · Cooke County
Emergency services Birthing friendly

De Tar Hospital Navarro

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450147
Location506 E San Antonio StVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Wilson N Jones Regional Medical Center

Acute Care Hospitals · Sherman, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450469
Location500 N Highland AvenueSherman, TX 75091 · Grayson County
Emergency services Birthing friendly

Houston Physicians' Hospital

Acute Care Hospitals · Webster, TX
OwnershipPhysician
CMS Certification Number670008
Location333 N Texas AvenueWebster, TX 77598 · Harris County
Emergency services

Baylor Scott And White Surgical Hospital At Sherma

Acute Care Hospitals · Sherman, TX
2/5 CMS rating
OwnershipPhysician
CMS Certification Number670076
Location3601 Calais DriveSherman, TX 75090 · Grayson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35010 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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.

84.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.1
Promoting Interoperability100
Improvement Activities40
Cost70.15

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.

Nurse Anesthetist, Certified Registered
3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
Nurse Anesthetist, Certified Registered
3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
Anesthesiology (Pain Medicine)
3316 HIGHWAY 280, ATTN: LYNN BLASZCZAK
ALEXANDER CITY, AL 35010
Nurse Anesthetist, Certified Registered
3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
Registered Nurse
3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
Nurse Practitioner
3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
Nurse Practitioner (Family)
3316 HIGHWAY 280
ALEXANDER CITY, AL 35010
Nurse Anesthetist, Certified Registered
3316 HIGHWAY 280
ALEXANDER CITY, AL 35010

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 Elgin's NPI number?

The NPI number for John Elgin is 1306866199. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is John Elgin located?

John Elgin practices at 3316 Highway 280, Alexander City, AL 35010. The listed phone number is (256) 329-7295.

What is John Elgin's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is John Elgin enrolled in Medicare?

Yes. John Elgin 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 Elgin accept?

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

According to CMS data, John Elgin is affiliated with North Texas Medical Center, De Tar Hospital Navarro, Wilson N Jones Regional Medical Center, Houston Physicians' Hospital and Baylor Scott And White Surgical Hospital At Sherma.

When was this NPI record last updated?

The NPPES record for John Elgin was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.