DR. MARK J MCELROY M.D.
NPI 1376076901
Orthopaedic Surgery in Cleveland, OH

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
76.2/100
CMS Quality Rating
11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-7200(216) 844-5366 Get Directions Write a Review

NPPES record last updated: October 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2023, May 9, 2022, May 31, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Mark J Mcelroy M.d. NPPES

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

DR. MARK J MCELROY M.D. (NPI 1376076901) is an individual orthopaedic surgery provider in Cleveland, Ohio, licensed in Ohio (35.149199) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376076901
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARK J MCELROYCredential: M.D.
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000
Fax(216) 844-5366
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateOctober 8, 20234 updates tracked since enumeration
NPPES CertifiedOctober 8, 2023
NPI 1376076901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 35.149199
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedSurgeryTaxonomy 208600000X · License ME154601 (FL)
11100 EUCLID AVE, Cleveland, OH 44106

Secondary Practice Locations 2

Location 13600 Forbes Ave, Forbes Tower, Plaza Suite 140Pittsburgh, PA 15213-3410 · Phone (412) 647-6340
Location 24500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000

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

Dr. Mark J Mcelroy 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 ID7719256684
PECOS Enrollment IDI20231019002059
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 12

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.

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.
116 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
114 services80 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
55 services55 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
48 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services38 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
35 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals Ahuja Medical Center

Acute Care Hospitals · Beachwood, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360359
Location3999 Richmond RoadBeachwood, OH 44122 · Cuyahoga County
Emergency services

Lake Health Beachwood Medical Center

Acute Care Hospitals · Beachwood, OH
OwnershipProprietary
CMS Certification Number360367
Location25501 Chagrin BlvdBeachwood, OH 44122 · Cuyahoga County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

76.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.33
Promoting Interoperability100
Improvement Activities40
Cost51.32

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
11100 EUCLID AVE
CLEVELAND, OH 44106
Radiology (Radiation Oncology)
11100 EUCLID AVE
CLEVELAND, OH 44106
Pediatrics (Pediatric Hematology-Oncology)
11100 EUCLID AVE, BOLWELL 6TH FLOOR
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiologist Assistant
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology (Critical Care Medicine)
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Nurse Anesthetist, Certified Registered
11100 EUCLID AVE
CLEVELAND, OH 44106

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 Mark Mcelroy's NPI number?

The NPI number for Mark Mcelroy is 1376076901. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Mark Mcelroy located?

Mark Mcelroy practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-7200.

What is Mark Mcelroy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mark Mcelroy enrolled in Medicare?

Yes. Mark Mcelroy 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 Mark Mcelroy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 2 other insurers list Mark Mcelroy 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 Mark Mcelroy affiliated with any hospitals?

According to CMS data, Mark Mcelroy is affiliated with Uh Regional Hospitals, University Hospitals Portage Medical Center, Uh Cleveland Medical Center, University Hospitals Ahuja Medical Center and Lake Health Beachwood Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Mcelroy was last updated on October 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.