DR. ELYSE JOELLE MCGLUMPHY M.D.
NPI 1609261460
Ophthalmology - Glaucoma Specialist in Baltimore, MD

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
600 N WOLFE ST, BALTIMORE, MD 21287(410) 955-5000 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2024, Mar 29, 2023, Jun 13, 2019 (3 updates tracked since 2019).

About Dr. Elyse Joelle Mcglumphy M.d. NPPES

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

DR. ELYSE JOELLE MCGLUMPHY M.D. (NPI 1609261460) is an individual glaucoma specialist in Baltimore, Maryland, licensed in Delaware (C1-0025759) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2015).

NPPES Registry Identity

NPI1609261460
Entity TypeIndividualFemale
Primary Taxonomy207WX0009X
Provider Legal NameDR. ELYSE JOELLE MCGLUMPHYCredential: M.D.
Location Address600 N WOLFE STBaltimore, MD 21287
Mailing AddressPo Box 10Rockland, DE 19732-0010 · (443) 866-4640
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2015
Enumeration DateMarch 30, 2015
Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
NPI 1609261460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License Licensed in DE · C1-0025759
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X · License D87413 (MD)
600 N WOLFE ST, Baltimore, MD 21287

Other Identifiers 2

OtherC1-0025759DE · License
OtherD87413MD · License

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. Elyse Joelle Mcglumphy 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 ID8820323298
PECOS Enrollment IDI20230322001361
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 15

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.
729 services620 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.
722 services569 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
604 services537 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
587 services564 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
143 services60 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
134 services132 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287

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 Elyse Mcglumphy's NPI number?

The NPI number for Elyse Mcglumphy is 1609261460. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Elyse Mcglumphy located?

Elyse Mcglumphy practices at 600 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-5000.

What is Elyse Mcglumphy's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Elyse Mcglumphy enrolled in Medicare?

Yes. Elyse Mcglumphy 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 Elyse Mcglumphy accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Highmark Blue Cross Blue Shield Delaware and 1 other insurer list Elyse Mcglumphy 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 Elyse Mcglumphy was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.