DR. JOHN T MCELVEEN JR. M.D.
NPI 1447259858
Otolaryngology - Otology & Neurotology in Raleigh, NC

Q: What is John Mcelveen's NPI number?

The NPI number for John Mcelveen is 1447259858. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Q: What is John Mcelveen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Q: When was this NPI record last updated?

The NPPES record for John Mcelveen was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment

97.5/100

CMS Quality Rating

5900 SIX FORKS RD, SUITE 200, RALEIGH, NC 27609(919) 867-4327(919) 876-6800 Get Directions Write a Review

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

On this page

About Dr. John T Mcelveen Jr. M.d. NPPES

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

DR. JOHN T MCELVEEN JR. M.D. (NPI 1447259858) is an individual otology & neurotology provider in Raleigh, North Carolina, licensed in North Carolina (30769) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1447259858

Entity TypeIndividualMale

Primary Taxonomy207YX0901X

Provider Legal NameDR. JOHN T MCELVEEN JR.Credential: M.D.

Location Address5900 SIX FORKS RD, SUITE 200Raleigh, NC 27609-3838

Mailing Address5900 Six Forks Rd, Suite 200Raleigh, NC 27609-3838 · (919) 867-4327 · Fax (919) 876-6800

Phone(919) 867-4327

Fax(919) 876-6800

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJuly 18, 2005

Last NPPES UpdateFebruary 12, 2026

✔ NPI 1447259858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians

Taxonomy Code207YX0901X

License✔ Licensed in NC · 30769

Definition

An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

5900 SIX FORKS RD, Raleigh, NC 27609

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Other Identifiers 3

Other040007839NC · Railroad Medicare

Medicaid8956482NC

MedicaidQ30769SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, UnitedHealthcare.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. John T Mcelveen Jr. 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 ID1557340908

PECOS Enrollment IDI20080205000058, I20120302000468

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 14

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.

257 services193 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

179 services139 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

121 services108 patients

Continuous monitoring of nervous system during operation, each 15 minutes 95940

Continuous monitoring of the nervous system during surgery is a procedure to check the health of your nerves in real time. It is performed every 15 minutes to ensure that your nerves are functioning well and not being harmed during the operation.

107 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

58 services58 patients

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.

49 services47 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

38 services38 patients

Incision of fluid canal of inner ear with infusion of drugs 69801

This procedure involves making a small cut in the inner ear's fluid canal. Medication is then infused directly into this area. It's often used to treat certain ear conditions or hearing issues. Rest assured, it's done under professional supervision.

35 services24 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.

34 services34 patients

Self soft tissue graft 15769

A self soft tissue graft is a dental procedure where tissue from your own mouth is used to treat areas with gum recession. This can protect roots, reduce sensitivity, and improve gum health. It's a common, safe procedure.

19 services19 patients

Needle measurement of electrical activity in muscles on side of body 95867

This procedure, known as an electromyography, involves a small needle inserted into muscles to measure their electrical activity. It helps diagnose conditions affecting muscle function or nerve communication. It's a safe and essential tool in neurology.

17 services17 patients

Complex removal of skin debris and drainage of mastoid cavity 69222

This procedure involves the careful removal of unwanted skin debris and the draining of fluid from the mastoid cavity, which is located in the ear. It helps alleviate discomfort and prevent potential complications. It's performed by a specialist using precise medical tools.

14 services11 patients

Insertion of cochlear device 69930

A cochlear device is a small electronic device that can help improve hearing. Its insertion involves a surgical procedure where the device is placed under the skin behind the ear. It works by directly stimulating the hearing nerve, aiding those with severe hearing loss.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

St Francis-Downtown

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420023

LocationOne St Francis DrGreenville, SC 29601 · Greenville County

Emergency services Birthing friendly

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.

97.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use

100%20 patients

Closing the Referral Loop: Receipt of Specialist Report

100%20 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%20 patients5/55-star benchmark: 100%

Falls: Plan of Care

100%20 patients

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

100%20 patients5/55-star benchmark: 100%

Surgical Site Infection (SSI)

Lower rates are better for this measure.

0%20 patients

Unplanned Reoperation within the 30 Day Postoperative Period

Lower rates are better for this measure.

0%20 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.

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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.

SETH C. RUMLEY, DDS, P.A.

Dentist (General Practice)

5900 SIX FORKS RD, SUITE 101
RALEIGH, NC 27609

Wake County (919) 847-8074

DR. ALEXANDRA L O'DELL AU.D.

Audiologist

5900 SIX FORKS RD, SUITE 200
RALEIGH, NC 27609

Wake County (919) 876-4327

DR. SETH CAMPBELL RUMLEY D.D.S., P.A.

Dentist (General Practice)

5900 SIX FORKS RD, SUITE 101
RALEIGH, NC 27609

Wake County (919) 847-8074

KATHARINE CLARKE RDN, LDN

Dietitian, Registered

5900 SIX FORKS RD, SUITE 103
RALEIGH, NC 27609

Wake County (919) 354-7077

MRS. CHRISTY HALL PARK MSN, ACNP-BC, NP-C

Nurse Practitioner

5900 SIX FORKS RD, SUITE 200
RALEIGH, NC 27609

Wake County (919) 876-4327

CAROLINA EAR HEARING AID ASSOCIATES LLC

Hearing Aid Equipment

5900 SIX FORKS RD, SUITE 200
RALEIGH, NC 27609

Wake County (919) 876-4327

CAROLINA EAR & HEARING CLINIC, PC

Specialist

5900 SIX FORKS RD, SUITE 200
RALEIGH, NC 27609

Wake County (919) 876-4327

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 John Mcelveen's NPI number?

The NPI number for John Mcelveen is 1447259858. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is John Mcelveen located?

John Mcelveen practices at 5900 Six Forks Rd Suite 200, Raleigh, NC 27609. The listed phone number is (919) 867-4327.

What is John Mcelveen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is John Mcelveen enrolled in Medicare?

Yes. John Mcelveen 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 John Mcelveen accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and UnitedHealthcare list John Mcelveen 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 John Mcelveen affiliated with any hospitals?

According to CMS data, John Mcelveen is affiliated with Duke University Hospital and St Francis-Downtown.

When was this NPI record last updated?

The NPPES record for John Mcelveen was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.