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DR. ELISA M. MONTROSS-LOPEZ MD..
NPI 1376536623
Family Medicine in Milton, DE

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
630 MULBERRY STREET, MILTON, DE 19968(302) 684-8053(302) 684-8059 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elisa M. Montross-lopez Md.. NPPES

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

DR. ELISA M. MONTROSS-LOPEZ MD.. (NPI 1376536623) is an individual family medicine provider in Milton, Delaware, licensed in Delaware (C1-0004991) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1994).

NPPES Registry Identity

NPI1376536623
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELISA M. MONTROSS-LOPEZCredential: MD..
Location Address630 MULBERRY STREETMilton, DE 19968
Mailing Address640 S State St, 742 BuildingDover, DE 19901-3530 · (302) 674-3970 · Fax (302) 672-2350
Phone(302) 684-8053
Fax(302) 684-8059
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1994
Enumeration DateAugust 23, 2005
Last NPPES UpdateOctober 12, 2012
✔ NPI 1376536623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DE · C1-0004991
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
630 MULBERRY STREET, Milton, DE 19968
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Other Identifiers 12

Other0002DE · Carefirst Bcbs Dc
Medicare UPING60873DE
Medicare ID-Type Unspecified951429L19DE
Other080107124DE · Railroad Medicare
Other15RG73DE · Blue Cross Blue Shield De
Medicaid0000821101DE
Other0420453000DE · Amerihealth
Other248021DE · Mamsi/united Health Care
Medicare PIN561519DE
Other5728537DE · Aetna
Other47279DE · Principal Healthcare
Other60953701DE · Carefirst Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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. Elisa M. Montross-lopez 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 ID4789740408
PECOS Enrollment IDI20090304000782
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

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 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.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19968 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%2,185 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
60%355 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%738 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
53%1,398 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%1,398 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
32%1,398 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
35%1,398 patients
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.

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 Elisa Montross-lopez's NPI number?

The NPI number for Elisa Montross-lopez is 1376536623. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Elisa Montross-lopez located?

Elisa Montross-lopez practices at 630 Mulberry Street, Milton, DE 19968. The listed phone number is (302) 684-8053.

What is Elisa Montross-lopez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elisa Montross-lopez enrolled in Medicare?

Yes. Elisa Montross-lopez 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 Elisa Montross-lopez accept?

Health plans from AmeriHealth Caritas Next list Elisa Montross-lopez 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.

When was this NPI record last updated?

The NPPES record for Elisa Montross-lopez was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.