DR. STEPHEN M. ELKSNIS M.D.
NPI 1669476271
Radiology - Diagnostic Radiology in Charleston, WV

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1538 KANAWHA BLVD E, CHARLESTON, WV 25311(304) 344-3457(304) 344-3480 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Oct 18, 2016 (2 updates tracked since 2016).

About Dr. Stephen M. Elksnis M.d. NPPES

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

DR. STEPHEN M. ELKSNIS M.D. (NPI 1669476271) is an individual diagnostic radiology provider in Charleston, West Virginia, licensed in West Virginia (15804) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Meadowview Regional Medical Center, and is a graduate of University Of Maryland School Of Medicine (1988).

NPPES Registry Identity

NPI1669476271
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. STEPHEN M. ELKSNISCredential: M.D.
Location Address1538 KANAWHA BLVD ECharleston, WV 25311-2435
Mailing AddressPo Box 11137Charleston, WV 25339-1137 · (304) 344-3457 · Fax (304) 344-3480
Fax(304) 344-3480
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1988
Enumeration DateJune 10, 2005
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1669476271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in WV · 15804
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1538 KANAWHA BLVD E, Charleston, WV 25311

Other Identifiers 13

Medicaid0119093000WV
Other020011800WV · Federal Black Lung
OtherF23074WV · Brickstreet Insurance
Other14193WV · Carelink & Carelink Peia
Other0130753WV · Umwa
Other550516458WV · Acordia National Peia
Medicaid0855392OH
Other55-0516458WV · Group Fein #
Medicaid550516458WV
Medicaid64699069KY
Other001718804WV · Freedom Blue & Ms Bcbs
Other151237200WV · Us Dol & Us Postal Comp
Medicaid14175WV

Accepted 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. Stephen M. Elksnis 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 ID6406828193
PECOS Enrollment IDI20040817000179, I20250702002114
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 54

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
918 services730 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
379 services360 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
259 services250 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
132 services132 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
111 services99 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
104 services104 patients

Hospital Affiliations CMS Care Compare 5

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

Meadowview Regional Medical Center

Acute Care Hospitals · Maysville, KY
5/5 CMS rating
OwnershipProprietary
CMS Certification Number180019
Location989 Medical Park DriveMaysville, KY 41056 · Mason County
Emergency services Birthing friendly

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25311 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,190 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%222 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%71 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Pediatrics
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311
Radiology (Diagnostic Radiology)
1538 KANAWHA BLVD E
CHARLESTON, WV 25311

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 Stephen Elksnis's NPI number?

The NPI number for Stephen Elksnis is 1669476271. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Stephen Elksnis located?

Stephen Elksnis practices at 1538 Kanawha Blvd E, Charleston, WV 25311. The listed phone number is (304) 344-3457.

What is Stephen Elksnis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Stephen Elksnis enrolled in Medicare?

Yes. Stephen Elksnis 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 Stephen Elksnis accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource and Oscar Insurance Company list Stephen Elksnis 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 Stephen Elksnis affiliated with any hospitals?

According to CMS data, Stephen Elksnis is affiliated with Meadowview Regional Medical Center, Pikeville Medical Center, Clark Regional Medical Center, Georgetown Community Hospital and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Elksnis was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.