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ELISA THELYS BUSHMAN M.D.
NPI 1629334982
Obstetrics & Gynecology - Maternal & Fetal Medicine in Pittsburgh, PA

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
4815 LIBERTY AVE STE GR59, PITTSBURGH, PA 15224(412) 578-3951(412) 578-1587 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2026, Aug 4, 2021, Jul 26, 2021 and 1 more (4 updates tracked since 2019).

About Elisa Thelys Bushman M.d. NPPES

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

ELISA THELYS BUSHMAN M.D. (NPI 1629334982) is an individual maternal & fetal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD473449) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of University Of Utah School Of Medicine (2012).

NPPES Registry Identity

NPI1629334982
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameELISA THELYS BUSHMANCredential: M.D.
Location Address4815 LIBERTY AVE STE GR59Pittsburgh, PA 15224-2156
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(412) 578-3951
Fax(412) 578-1587
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateMay 14, 20264 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1629334982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in PA · MD473449✔ Licensed in UT · 9139074-1205
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
4815 LIBERTY AVE STE GR59, Pittsburgh, PA 15224
Open in Google Maps ↗

Secondary Practice Location 1

Location 11034 N 500 WProvo, UT 84604-3380 · Phone (801) 357-7706

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elisa Thelys Bushman 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 ID6305097684
PECOS Enrollment IDI20210805000015
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 Reassignments

4

Medicare enrollment records show Elisa Bushman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic
Same address
Surgery
4815 LIBERTY AVE STE 215
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
NPI 1013240860 (412) 235-5900
St Clair Professional Services Inc
8.5 mi
Critical Care Medicine
1000 BOWER HILL RD
Pittsburgh, PA 15243
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 133 clinicians in this Medicare group
NPI 1326712050 (412) 942-4000
St Vincent Medical Education And Research Institute Inc
114 mi
Internal Medicine
2314 SASSAFRAS ST, 2ND FLOOR - ADMIN OFFICE
Erie, PA 16502
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 483 clinicians in this Medicare group
NPI 1902881477 (814) 452-5043
Ihc Health Services Inc
529 mi
Clinic/Center
1300 N 500 E #130, LOGAN REGIONAL ORTHOPEDICS
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1205963105 (435) 716-2800

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

Areas of Expertise CMS Part B claims 2

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.

Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
17 services17 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

MRS. DEBRA LYNN BERRY M.S. CGC
Genetic Counselor, MS
4815 LIBERTY AVE STE GR59
PITTSBURGH, PA 15224
Allegheny County (412) 578-7459
MS. SUSAN B LEWIS M.S., C.G.C.
Genetic Counselor, MS
4815 LIBERTY AVE STE GR59
PITTSBURGH, PA 15224
Allegheny County (412) 578-3951
DEBRA SUE CARSE CRNP
Nurse Practitioner (Family)
4815 LIBERTY AVE STE GR59
PITTSBURGH, PA 15224
Allegheny County (412) 578-3951
DR. MICHAEL MATEAN AZIZ MD, MPH
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4815 LIBERTY AVE STE GR59
PITTSBURGH, PA 15224
Allegheny County (412) 578-3951
MRS. KATHY BOURNIKOS LINN M.S., C.G.C.
Genetic Counselor, MS
4815 LIBERTY AVE STE GR59
PITTSBURGH, PA 15224
Allegheny County (412) 578-5514
KATHLEEN SUSAN DIAZ MS, LCGC
Genetic Counselor, MS
4815 LIBERTY AVE STE GR59
PITTSBURGH, PA 15224
Allegheny County (412) 578-3951

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 Elisa Bushman's NPI number?

The NPI number for Elisa Bushman is 1629334982. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Elisa Bushman located?

Elisa Bushman practices at 4815 Liberty Ave Ste Gr59, Pittsburgh, PA 15224. The listed phone number is (412) 578-3951.

What is Elisa Bushman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Elisa Bushman enrolled in Medicare?

Yes. Elisa Bushman 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.

Which organizations bill Medicare for Elisa Bushman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisa Bushman reassigns Medicare benefits to 4 organizations: Allegheny Clinic (Pittsburgh, PA), St Clair Professional Services Inc (Pittsburgh, PA), St Vincent Medical Education And Research Institute Inc (Erie, PA) and Ihc Health Services Inc (Logan, UT). Each 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 Elisa Bushman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elisa Bushman accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Elisa Bushman 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 Elisa Bushman was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.