DR. PETER ELSISSY M.D.
NPI 1629281845
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Redlands, CA

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
67.84/100
CMS Quality Rating
1901 W LUGONIA AVE STE 120, REDLANDS, CA 92374(909) 557-1600(909) 557-1731 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Peter Elsissy M.d. NPPES

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

DR. PETER ELSISSY M.D. (NPI 1629281845) is an individual adult reconstructive orthopaedic surgery provider in Redlands, California, licensed in California (A100039) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2005).

NPPES Registry Identity

NPI1629281845
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. PETER ELSISSYCredential: M.D.
Location Address1901 W LUGONIA AVE STE 120Redlands, CA 92374-9704
Mailing Address1801 Orange Tree Ln Ste 200Redlands, CA 92374-4587 · (909) 557-1600 · Fax (909) 557-1732
Fax(909) 557-1731
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2005
Enumeration DateMay 7, 2007
Last NPPES UpdateFebruary 24, 2020
NPI 1629281845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in CA · A100039
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

1901 W LUGONIA AVE STE 120, Redlands, CA 92374

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. Peter Elsissy 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 ID6204950371
PECOS Enrollment IDI20111013000231
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 13

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.
164 services129 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
108 services79 patients
Injection, ropivacaine hydrochloride, 1 mg J2795
Ropivacaine hydrochloride is a local anesthetic used to numb specific areas of your body during minor surgical procedures or to relieve pain. The medicine is injected into the area requiring anesthesia.
108 services42 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.
85 services81 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
57 services43 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
52 services51 patients

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.

67.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.66
Promoting Interoperability52
Improvement Activities40
Cost91.3

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
6 suppliers21 claims21 services$41.23 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$20.27 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 15

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

Physician Assistant (Medical)
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Physician Assistant
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Physician Assistant
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Family Medicine
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Orthopaedic Surgery
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Occupational Therapist
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Podiatrist (Foot & Ankle Surgery)
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374
Nurse Practitioner
1901 W LUGONIA AVE STE 120
REDLANDS, CA 92374

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 Peter Elsissy's NPI number?

The NPI number for Peter Elsissy is 1629281845. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Peter Elsissy located?

Peter Elsissy practices at 1901 W Lugonia Ave Ste 120, Redlands, CA 92374. The listed phone number is (909) 557-1600.

What is Peter Elsissy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Peter Elsissy enrolled in Medicare?

Yes. Peter Elsissy 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.

When was this NPI record last updated?

The NPPES record for Peter Elsissy was last updated on February 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.