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ELISE ELEANOR HILL FANNON MD, MPP
NPI 1609371574
Surgery in Philadelphia, PA

Active since March 24, 2018PECOS Enrolled
3400 SPRUCE STREET, PHILADELPHIA, PA 19104(215) 349-8310(215) 893-7270 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2026, Jan 10, 2025, Mar 24, 2018 (3 updates tracked since 2018).

About Elise Eleanor Hill Fannon Md, Mpp NPPES

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

ELISE ELEANOR HILL FANNON MD, MPP (NPI 1609371574) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD489468) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609371574
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameELISE ELEANOR HILL FANNONCredential: MD, MPP
Location Address3400 SPRUCE STREETPhiladelphia, PA 19104-3309
Mailing Address3400 Spruce StreetPhiladelphia, PA 19104-3309 · (215) 349-8310 · Fax (215) 893-7270
Phone(215) 349-8310
Fax(215) 893-7270
Sole ProprietorYes
Enumeration DateMarch 24, 2018
Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1609371574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD489468
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3400 SPRUCE STREET, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise Eleanor Hill Fannon Md, Mpp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Elise Fannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn - Medical Group
Same address
Hospitalist
3400 SPRUCE ST
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1073902169 (Pennsylvania)
  • 752 clinicians in this Medicare group
NPI 1053447151 (215) 662-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

SARAH KUMAR M.D.
Anesthesiology (Critical Care Medicine)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
RYAN MCCLINTOCK MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
ADRIAN W ONG MD
Surgery (Surgical Critical Care)
3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7320
MATHEW N BESHARA MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6035
JILL E LANGER MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7012
BERNADETTE C WHEELER MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2730
EDWARD T DICKINSON MD
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6698
WENDY RACHEL GALPERN MD, PHD
Psychiatry & Neurology (Neurology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2219

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 Elise Fannon's NPI number?

The NPI number for Elise Fannon is 1609371574. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Elise Fannon located?

Elise Fannon practices at 3400 Spruce Street, Philadelphia, PA 19104. The listed phone number is (215) 349-8310.

What is Elise Fannon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Elise Fannon enrolled in Medicare?

Yes. Elise Fannon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elise Fannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Fannon reassigns Medicare benefits to University Of Penn - Medical Group (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elise Fannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elise Fannon was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.