DR. ELAINE METCALF M.D.
NPI 1649366592
Specialist in Wellesley, MA

Q: What is Elaine Metcalf's NPI number?

The NPI number for Elaine Metcalf is 1649366592. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Elaine Metcalf's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Elaine Metcalf was last updated on March 8, 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.

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

230 WORCESTER ST, WELLESLEY, MA 02481(781) 431-5429(781) 431-5548 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Elaine Metcalf M.d. NPPES

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

DR. ELAINE METCALF M.D. (NPI 1649366592) is an individual specialist in Wellesley, Massachusetts, licensed in Massachusetts (75328) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1649366592

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. ELAINE METCALFCredential: M.D.

Location Address230 WORCESTER STWellesley, MA 02481-5420

Mailing Address230 Worcester StWellesley, MA 02481-5420 · (781) 431-5429 · Fax (781) 431-5548

Phone(781) 431-5429

Fax(781) 431-5548

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateOctober 5, 2006

Last NPPES UpdateMarch 8, 2021

NPPES CertifiedMarch 8, 2021

✔ NPI 1649366592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MA · 75328

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

230 WORCESTER ST, Wellesley, MA 02481

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Elaine Metcalf 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 ID6901084896

PECOS Enrollment IDI20110623000484

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 6

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.

48 services37 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.

19 services15 patients

Biopsy of lining of uterus 58100

A biopsy of the uterus lining is a medical procedure where a small sample of tissue is taken from the inner layer of your uterus. This is done to check for any abnormal cells or conditions. It's a common, quick process that helps in diagnosing various health issues.

16 services15 patients

Detection test by nucleic acid for human papillomavirus (hpv), high-risk types 87624

This test detects high-risk types of HPV, a common virus. It's done by analyzing a small sample of cells for the presence of HPV DNA. The aim is to identify any high-risk types early, as they may increase the risk of certain health issues.

14 services13 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

13 services13 patients

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision G0145

This is a procedure to check for abnormal cells in the lower part of the womb or the birth canal. Cells are collected in a special fluid and prepared in a thin layer. They are then examined by an automated system and manually reviewed by a doctor for accuracy.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220101

Location2014 Washington StreetNewton, MA 02462 · Middlesex County

Emergency services Birthing friendly

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.

JAMES M. DONOVAN PHD

Psychologist

230 WORCESTER ST
WELLESLEY, MA 02481

Norfolk County (781) 431-5270

JEAN D HORST NP

Nurse Practitioner (Pediatrics)

230 WORCESTER ST
WELLESLEY, MA 02481

Norfolk County (781) 431-5200

LINDA ANN RAFTERY NP

Nurse Practitioner (Adult Health)

230 WORCESTER ST
WELLESLEY, MA 02481

Norfolk County (781) 431-5200

SUSAN JO ROBERTS NP

Nurse Practitioner (Adult Health)

230 WORCESTER ST
WELLESLEY, MA 02481

Norfolk County (781) 431-5200

DEBRA A BRADFORD NP

Nurse Practitioner (Adult Health)

230 WORCESTER ST
WELLESLEY, MA 02481

Norfolk County (781) 431-5200

JULIA Y LOGAN M.D.

Obstetrics & Gynecology

230 WORCESTER ST
WELLESLEY, MA 02481

Norfolk County (781) 431-5400

IDA P GORENBURG M.D.

Internal Medicine

230 WORCESTER ST, INTERNAL MEDICINE
WELLESLEY, MA 02481

Norfolk County (781) 431-5220

PHYLLIS BLUHM PA

Physician Assistant (Medical)

230 WORCESTER ST
WELLESLEY, MA 02481

Norfolk County (781) 431-5200

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 Elaine Metcalf's NPI number?

The NPI number for Elaine Metcalf is 1649366592. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Elaine Metcalf located?

Elaine Metcalf practices at 230 Worcester St, Wellesley, MA 02481. The listed phone number is (781) 431-5429.

What is Elaine Metcalf's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Elaine Metcalf enrolled in Medicare?

Yes. Elaine Metcalf 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 Elaine Metcalf accept?

Health plans from Anthem Blue Cross and Blue Shield list Elaine Metcalf 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 Elaine Metcalf affiliated with any hospitals?

According to CMS data, Elaine Metcalf is affiliated with Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Elaine Metcalf was last updated on March 8, 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.