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ELLIE ELIZABETH LAVERY
NPI 1396618674
Physician Assistant in Potomac, MD

Active since September 24, 2025PECOS Enrolled
10015 GABLE MANOR CT, POTOMAC, MD 20854(240) 994-9853 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellie Elizabeth Lavery NPPES

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

ELLIE ELIZABETH LAVERY (NPI 1396618674) is an individual physician assistant in Potomac, Maryland and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396618674
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLIE ELIZABETH LAVERY
Location Address10015 GABLE MANOR CTPotomac, MD 20854-5000
Mailing Address10015 Gable Manor CtPotomac, MD 20854-5000
Phone(240) 994-9853
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1396618674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10015 GABLE MANOR CT, Potomac, MD 20854
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellie Elizabeth Lavery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345724456
PECOS Enrollment IDI20260317003055
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20854 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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 Ellie Lavery's NPI number?

The NPI number for Ellie Lavery is 1396618674. It was assigned to this individual provider in the NPPES registry on September 24, 2025.

Where is Ellie Lavery located?

Ellie Lavery practices at 10015 Gable Manor Ct, Potomac, MD 20854. The listed phone number is (240) 994-9853.

What is Ellie Lavery's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ellie Lavery enrolled in Medicare?

Yes. Ellie Lavery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellie Lavery was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.