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

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: October 18, 2026.

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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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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elaine Metcalf reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atrius Health, Inc.
Same address
Internal Medicine
230 WORCESTER ST
Wellesley, MA 02481
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,317 clinicians in this Medicare group
NPI 1972717635 (781) 431-5200
Newton-Wellesley Obstetrics & Gynecology PC
1.2 mi
Obstetrics & Gynecology
2000 WASHINGTON ST, SUITE 768
Newton, MA 02462
  • Reassigned Medicare billing, Massachusetts enrollment
  • 12 clinicians in this Medicare group
NPI 1891711495 (617) 332-2345

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 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.

Which organizations bill Medicare for Elaine Metcalf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Metcalf reassigns Medicare benefits to 2 organizations: Atrius Health, Inc. (Wellesley, MA) and Newton-Wellesley Obstetrics & Gynecology PC (Newton, MA). 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 Elaine Metcalf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.