DR. MICHAEL ELIAS M.D.
NPI 1619289170
Internal Medicine - Critical Care Medicine in Mansfield, OH

Active since July 12, 2010PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
335 GLESSNER AVE, MANSFIELD, OH 44903(419) 526-8000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Feb 2, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Michael Elias M.d. NPPES

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

DR. MICHAEL ELIAS M.D. (NPI 1619289170) is an individual critical care medicine provider in Mansfield, Ohio, licensed in Connecticut (67155) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1619289170
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. MICHAEL ELIASCredential: M.D.
Location Address335 GLESSNER AVEMansfield, OH 44903-2269
Mailing Address1290 Silas Deane Hwy, Hhc CvoWethersfield, CT 06109 · (475) 210-5663
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 12, 2010
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
NPI 1619289170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in CT · 67155 Licensed in OH · 35.126544
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.126544 (OH)
335 GLESSNER AVE, Mansfield, OH 44903

Secondary Practice Locations 2

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 241-6500
Location 22800 Main StBridgeport, CT 06606-4201 · Phone (475) 210-5663

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. Michael Elias 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 ID3274842281
PECOS Enrollment IDI20210104001266
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 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
174 services99 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
42 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services21 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44903 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%93 patients5/55-star benchmark: 100%
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.

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.

Audiologist
335 GLESSNER AVE
MANSFIELD, OH 44903
Internal Medicine (Cardiovascular Disease)
335 GLESSNER AVE
MANSFIELD, OH 44903
Emergency Medicine
335 GLESSNER AVE
MANSFIELD, OH 44903
Internal Medicine (Endocrinology, Diabetes & Metabolism)
335 GLESSNER AVE
MANSFIELD, OH 44903
Physician Assistant
335 GLESSNER AVE
MANSFIELD, OH 44903
Emergency Medicine
335 GLESSNER AVE
MANSFIELD, OH 44903
Thoracic Surgery (Cardiothoracic Vascular Surgery)
335 GLESSNER AVE
MANSFIELD, OH 44903
Physical Therapy Assistant
335 GLESSNER AVE
MANSFIELD, OH 44903

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 Michael Elias's NPI number?

The NPI number for Michael Elias is 1619289170. It was assigned to this individual provider in the NPPES registry on July 12, 2010.

Where is Michael Elias located?

Michael Elias practices at 335 Glessner Ave, Mansfield, OH 44903. The listed phone number is (419) 526-8000.

What is Michael Elias's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Michael Elias enrolled in Medicare?

Yes. Michael Elias 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 Michael Elias accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Michael Elias 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 Michael Elias was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.