DR. ELSIE ACHIENG M.D.
NPI 1467896670
Psychiatry & Neurology - Sleep Medicine in Newport News, VA

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
12200 WARWICK BLVD STE 410, NEWPORT NEWS, VA 23601(757) 534-5200(757) 534-5830 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2019, Aug 7, 2019 (2 updates tracked since 2019).

About Dr. Elsie Achieng M.d. NPPES

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

DR. ELSIE ACHIENG M.D. (NPI 1467896670) is an individual sleep medicine provider in Newport News, Virginia, licensed in Virginia (0101267437) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Morehouse School Of Medicine (2013).

NPPES Registry Identity

NPI1467896670
Entity TypeIndividualFemale
Primary Taxonomy2084S0012X
Provider Legal NameDR. ELSIE ACHIENGCredential: M.D.
Location Address12200 WARWICK BLVD STE 410Newport News, VA 23601-2548
Mailing Address856 J Clyde Morris Blvd Ste ANewport News, VA 23601-1318 · (757) 316-5800 · Fax (757) 534-5190
Fax(757) 534-5830
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2013
Enumeration DateApril 18, 2013
Last NPPES UpdateSeptember 26, 20192 updates tracked since enumeration
NPI 1467896670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License Licensed in VA · 0101267437
Definition
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
12200 WARWICK BLVD STE 410, Newport News, VA 23601

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. Elsie Achieng 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 ID9830328616
PECOS Enrollment IDI20190923002369
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 8

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.

Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
148 services142 patients
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.
144 services119 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.
109 services86 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
75 services74 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.
49 services49 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.
45 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers154 claims154 services$31.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers80 claims80 services$72.85 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers65 claims170 services$29.03 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers47 claims252 services$14.39 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
1 supplier25 claims150 services$11.58 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers87 claims87 services$45.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
12200 WARWICK BLVD STE 410
NEWPORT NEWS, VA 23601
Physician Assistant
12200 WARWICK BLVD STE 410
NEWPORT NEWS, VA 23601
Physician Assistant
12200 WARWICK BLVD STE 410
NEWPORT NEWS, VA 23601
Physical Medicine & Rehabilitation
12200 WARWICK BLVD STE 410
NEWPORT NEWS, VA 23601
Physician Assistant
12200 WARWICK BLVD STE 410
NEWPORT NEWS, VA 23601
Nurse Practitioner (Family)
12200 WARWICK BLVD STE 410
NEWPORT NEWS, VA 23601
Psychiatry & Neurology (Vascular Neurology)
12200 WARWICK BLVD STE 410
NEWPORT NEWS, VA 23601
Physician Assistant
12200 WARWICK BLVD STE 410
NEWPORT NEWS, VA 23601

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 Elsie Achieng's NPI number?

The NPI number for Elsie Achieng is 1467896670. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Elsie Achieng located?

Elsie Achieng practices at 12200 Warwick Blvd Ste 410, Newport News, VA 23601. The listed phone number is (757) 534-5200.

What is Elsie Achieng's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Elsie Achieng enrolled in Medicare?

Yes. Elsie Achieng 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.

Is Elsie Achieng affiliated with any hospitals?

According to CMS data, Elsie Achieng is affiliated with Riverside Regional Medical Center, Riverside Walter Reed Hospital and Riverside Doctors' Hospital Of Williamsburg.

When was this NPI record last updated?

The NPPES record for Elsie Achieng was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.