ELISE MCPHERSON DO
NPI 1326532425
Internal Medicine in Dubuque, IA

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
1515 DELHI ST STE 100, DUBUQUE, IA 52001(563) 557-9111(563) 557-5560 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2021, Jun 21, 2018 (2 updates tracked since 2018).

About Elise Mcpherson Do NPPES

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

ELISE MCPHERSON DO (NPI 1326532425) is an individual internal medicine provider in Dubuque, Iowa, licensed in Iowa (05841) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Finley Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1326532425
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELISE MCPHERSONCredential: DO
Location Address1515 DELHI ST STE 100Dubuque, IA 52001-6320
Mailing Address1515 Delhi St Ste 100Dubuque, IA 52001-6320 · (563) 557-9111 · Fax (563) 557-5560
Fax(563) 557-5560
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 21, 2018
Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
NPI 1326532425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IA · 05841
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1515 DELHI ST STE 100, Dubuque, IA 52001

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

Elise Mcpherson Do 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 ID8325394646
PECOS Enrollment IDI20210804001833
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 31

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.
258 services142 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
223 services128 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
101 services68 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
98 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
87 services87 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
85 services57 patients

Hospital Affiliations CMS Care Compare

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

Finley Hospital

Acute Care Hospitals · Dubuque, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160117
Location350 North Grandview AvenueDubuque, IA 52001 · Dubuque County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52001 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims2,304 services$0.03 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.

Allergy & Immunology
1515 DELHI ST STE 100
DUBUQUE, IA 52001
Clinical Nurse Specialist (Adult Health)
1515 DELHI ST STE 100
DUBUQUE, IA 52001
Physician Assistant (Medical)
1515 DELHI ST STE 100
DUBUQUE, IA 52001
Nurse Practitioner (Family)
1515 DELHI ST STE 100
DUBUQUE, IA 52001
Hospitalist
1515 DELHI ST STE 100
DUBUQUE, IA 52001
Physician Assistant (Medical)
1515 DELHI ST STE 100
DUBUQUE, IA 52001
Family Medicine
1515 DELHI ST STE 100
DUBUQUE, IA 52001

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 Elise Mcpherson's NPI number?

The NPI number for Elise Mcpherson is 1326532425. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Elise Mcpherson located?

Elise Mcpherson practices at 1515 Delhi St Ste 100, Dubuque, IA 52001. The listed phone number is (563) 557-9111.

What is Elise Mcpherson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elise Mcpherson enrolled in Medicare?

Yes. Elise Mcpherson 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 Elise Mcpherson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Elise Mcpherson 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 Elise Mcpherson affiliated with any hospitals?

According to CMS data, Elise Mcpherson is affiliated with Finley Hospital.

When was this NPI record last updated?

The NPPES record for Elise Mcpherson was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.