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DR. ELIE TONY NADER MD
NPI 1639302151
Internal Medicine - Pulmonary Disease in Norton, VA

Active since September 01, 2009PECOS EnrolledAccepts Medicare Assignment
98 15TH ST NW, STE 201A, NORTON, VA 24273(276) 439-1490(276) 439-1495 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2017, Feb 6, 2017, May 20, 2016 (3 updates tracked since 2016).

About Dr. Elie Tony Nader Md NPPES

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

DR. ELIE TONY NADER MD (NPI 1639302151) is an individual pulmonary disease provider in Norton, Virginia, licensed in Virginia (0101260062) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Lonesome Pine Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1639302151
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ELIE TONY NADERCredential: MD
Location Address98 15TH ST NW, STE 201ANorton, VA 24273-1600
Mailing Address98 15th St Nw, Ste 201aNorton, VA 24273-1600 · (276) 439-1490 · Fax (276) 439-1495
Phone(276) 439-1490
Fax(276) 439-1495
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 1, 2009
Last NPPES UpdateFebruary 21, 20173 updates tracked since enumeration
✔ NPI 1639302151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in VA · 0101260062
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101260062 (VA)
98 15TH ST NW, Norton, VA 24273
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Other Identifiers 2

Medicare PINVVL617AVA
Medicaid1639302151VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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. Elie Tony Nader Md 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 ID4789836248
PECOS Enrollment IDI20160815000459
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 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.
62 services40 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.
51 services34 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
47 services47 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
39 services39 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
24 services24 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490114
Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County
Emergency services

Lee County Community Hospital

Critical Access Hospitals · Pennington Gap, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491309
Location127 Health Care DrivePennington Gap, VA 24277 · Lee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24273 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers35 claims35 services$20.08 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
3 suppliers12 claims16 services$52.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers50 claims50 services$114.88 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$38.17 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims1,050 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers27 claims27 services$25.11 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 8

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

NORTON COMMUNITY PHYSICIANS SERVICES LLC
Pediatrics (Pediatric Hematology-Oncology)
98 15TH ST NW, SUITE 202
NORTON, VA 24273
Norton City (276) 439-1493
BLUE RIDGE MEDICAL MANAGEMENT
Surgery (Vascular Surgery)
98 15TH ST NW, SUITE 201B
NORTON, VA 24273
Norton City (276) 439-1490
DR. PARMOD KUMAR SAPRA M.D.
Pediatrics (Adolescent Medicine)
98 15TH ST NW, SUITE 209
NORTON, VA 24273
Norton City (276) 679-3037
FELIX EUGENE SHEPARD JR. MD
Urology
98 15TH ST NW, BUILDING #2 SUITE #207
NORTON, VA 24273
Norton City (276) 679-7600
DR. RONALD JAY KLAYTON MD
Internal Medicine (Pulmonary Disease)
98 15TH ST NW, SUITE 104 A
NORTON, VA 24273
Norton City (276) 328-8910
OLIVETTE A GUEDON MD
Family Medicine
98 15TH ST NW
NORTON, VA 24273
Norton City (540) 446-2278
TAMY E. PERNG, D.O., INC.
Surgery
98 15TH ST NW, SUITE 206
NORTON, VA 24273
Norton City (276) 679-2090
GUEDON MEDICAL CLINIC
Clinic/Center (Primary Care)
98 15TH ST NW
NORTON, VA 24273
Norton City (540) 446-2278

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 Elie Nader's NPI number?

The NPI number for Elie Nader is 1639302151. It was assigned to this individual provider in the NPPES registry on September 1, 2009.

Where is Elie Nader located?

Elie Nader practices at 98 15th St NW Ste 201A, Norton, VA 24273. The listed phone number is (276) 439-1490.

What is Elie Nader's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Elie Nader enrolled in Medicare?

Yes. Elie Nader 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 Elie Nader accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Elie Nader 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 Elie Nader affiliated with any hospitals?

According to CMS data, Elie Nader is affiliated with Lonesome Pine Hospital and Lee County Community Hospital.

When was this NPI record last updated?

The NPPES record for Elie Nader was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.