CAROLINE ELBAUM MD
NPI 1356839641
Obstetrics & Gynecology in Concord, NH

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment
89.36/100
CMS Quality Rating
246 PLEASANT ST, MEMORIAL BUILDING, WEST, FLOOR 1, CONCORD, NH 03301(603) 228-1111(603) 227-7558 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2022, Jul 26, 2022, Jul 24, 2021 and 1 more (4 updates tracked since 2018).

About Caroline Elbaum Md NPPES

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

CAROLINE ELBAUM MD (NPI 1356839641) is an individual obstetrics & gynecology provider in Concord, New Hampshire, licensed in New Hampshire (22660) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and is a graduate of Tufts University School Of Medicine (2018).

NPPES Registry Identity

NPI1356839641
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCAROLINE ELBAUMCredential: MD
Location Address246 PLEASANT ST, MEMORIAL BUILDING, WEST, FLOOR 1Concord, NH 03301-2548
Mailing Address246 Pleasant St., Memorial Building, West, Floor 1Concord, NH 03301-2548 · (603) 228-1111 · Fax (603) 227-7558
Fax(603) 227-7558
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2018
Enumeration DateApril 23, 2018
Last NPPES UpdateAugust 23, 20224 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
NPI 1356839641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NH · 22660
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
246 PLEASANT ST, Concord, NH 03301

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

Caroline Elbaum 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 ID9830444538
PECOS Enrollment IDI20220913001349
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 3

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.
19 services18 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
13 services13 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Concord Hospital

Acute Care Hospitals · Concord, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03301 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

89.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.19
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.

Internal Medicine (Cardiovascular Disease)
246 PLEASANT ST, SUITE 103
CONCORD, NH 03301
Anesthesiology
246 PLEASANT ST, SUITE 105 B EYE ANESTHESIA OF CONCORD PLLC
CONCORD, NH 03301
Anesthesiology
246 PLEASANT ST, SUITE 105B
CONCORD, NH 03301
Internal Medicine (Clinical Cardiac Electrophysiology)
246 PLEASANT ST, SUITE 103
CONCORD, NH 03301
Prosthetic/Orthotic Supplier
246 PLEASANT ST, SUITE 200
CONCORD, NH 03301
Nurse Practitioner (Adult Health)
246 PLEASANT ST, SUITE 205
CONCORD, NH 03301
Physician Assistant
246 PLEASANT ST, SUITE 205
CONCORD, NH 03301
Physical Therapist (Pediatrics)
246 PLEASANT ST, SUITE 200
CONCORD, NH 03301

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 Caroline Elbaum's NPI number?

The NPI number for Caroline Elbaum is 1356839641. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Caroline Elbaum located?

Caroline Elbaum practices at 246 Pleasant St Memorial Building, West, Floor 1, Concord, NH 03301. The listed phone number is (603) 228-1111.

What is Caroline Elbaum's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Caroline Elbaum enrolled in Medicare?

Yes. Caroline Elbaum 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 Caroline Elbaum accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Caroline Elbaum 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 Caroline Elbaum affiliated with any hospitals?

According to CMS data, Caroline Elbaum is affiliated with Concord Hospital.

When was this NPI record last updated?

The NPPES record for Caroline Elbaum was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.