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DR. MICHAEL A ELROD DO
NPI 1629001359
Surgery in Centerville, OH

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
7700 WASHINGTON VILLAGE DR STE 130, CENTERVILLE, OH 45459(937) 531-0195(937) 531-0196 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2021, Jun 26, 2018, Jan 11, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Michael A Elrod Do NPPES

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

DR. MICHAEL A ELROD DO (NPI 1629001359) is an individual surgery provider in Centerville, Ohio, licensed in Ohio (34008804) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Ohio University, College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1629001359
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL A ELRODCredential: DO
Location Address7700 WASHINGTON VILLAGE DR STE 130Centerville, OH 45459-4094
Mailing Address1 Prestige Pl, Suite 550Miamisburg, OH 45342-3794 · (937) 762-1310 · Fax (937) 522-8493
Phone(937) 531-0195
Fax(937) 531-0196
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2001
Enumeration DateJuly 8, 2006
Last NPPES UpdateJanuary 12, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1629001359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 34008804
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.
7700 WASHINGTON VILLAGE DR STE 130, Centerville, OH 45459
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Other Identifiers 9

Other000000490751Bcbs-oh
Other311175717224OH · Caresource
Other7721889OH · Aetna
Medicaid2702954OH
Other000000823179OH · Bcbs - Anthem Pmg
Other311175717OH · Tricare Healthnet
Other421534506OH · Healthnet
OtherP00478009OH · Rail Road Medicare
Other4515730OH · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 A Elrod Do 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 ID3870590722
PECOS Enrollment IDI20061107000192
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.

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.
50 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services26 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.
26 services26 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.
22 services22 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.
21 services21 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.
18 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 5

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

MYRA BIBB DOWLER PA
Physician Assistant
7700 WASHINGTON VILLAGE DR STE 130
CENTERVILLE, OH 45459
Montgomery County (937) 531-0195
DR. ANDREW L ARCHER D.O.
Surgery
7700 WASHINGTON VILLAGE DR STE 130
CENTERVILLE, OH 45459
Montgomery County (937) 531-0195
DR. JORDAN DAVID BROWN D.O.
Surgery
7700 WASHINGTON VILLAGE DR STE 130
CENTERVILLE, OH 45459
Montgomery County (937) 531-0195
MADISON SELBY
Nurse Practitioner
7700 WASHINGTON VILLAGE DR STE 130
CENTERVILLE, OH 45459
Montgomery County (937) 531-0195
JOSHUA J MORGAN D.O.
Surgery
7700 WASHINGTON VILLAGE DR STE 130
CENTERVILLE, OH 45459
Montgomery County (937) 531-0195

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 Elrod's NPI number?

The NPI number for Michael Elrod is 1629001359. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Michael Elrod located?

Michael Elrod practices at 7700 Washington Village Dr Ste 130, Centerville, OH 45459. The listed phone number is (937) 531-0195.

What is Michael Elrod's specialty?

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

Is Michael Elrod enrolled in Medicare?

Yes. Michael Elrod 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 Elrod accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Michael Elrod 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 Michael Elrod affiliated with any hospitals?

According to CMS data, Michael Elrod is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Elrod was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.