DR. ILEANA SHOWALTER M.D.
NPI 1750370342
Specialist in Baltimore, MD

Active since October 17, 2005PECOS EnrolledAccepts Medicare Assignment
8.78/100
CMS Quality Rating
301 SAINT PAUL PL, SUITE 612, BALTIMORE, MD 21202(410) 837-6126(410) 539-3418 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ileana Showalter M.d. NPPES

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

DR. ILEANA SHOWALTER M.D. (NPI 1750370342) is an individual specialist in Baltimore, Maryland, licensed in Maryland (D0061870) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of University Of Puerto Rico School Of Medicine (1995).

NPPES Registry Identity

NPI1750370342
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. ILEANA SHOWALTERCredential: M.D.
Location Address301 SAINT PAUL PL, SUITE 612Baltimore, MD 21202-2102
Mailing Address501 Saint Paul Pl, Apt. 1002Baltimore, MD 21202-2270 · (410) 837-8286
Fax(410) 539-3418
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1995
Enumeration DateOctober 17, 2005
Last NPPES UpdateDecember 8, 2009
NPI 1750370342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MD · D0061870
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.
301 SAINT PAUL PL, Baltimore, MD 21202

Other Identifiers 2

Medicaid405908500MD
Medicare UPINI08685MD

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. Ileana Showalter 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 ID648259291
PECOS Enrollment IDI20040716000558
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 11

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.
498 services360 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
304 services233 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
200 services200 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
179 services179 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
138 services134 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
132 services131 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

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.

8.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%411 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers15 claims15 services$33.82 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers14 claims74 services$17.49 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers13 claims13 services$45.20 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims93 services$1.88 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier18 claims18 services$29.76 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 20

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

Physician Assistant
301 SAINT PAUL PL, ORTHOPEDIC AND JOINT REPLACEMENT
BALTIMORE, MD 21202
Emergency Medicine
301 SAINT PAUL PL
BALTIMORE, MD 21202
Surgery (Vascular Surgery)
301 SAINT PAUL PL, 5TH FLOOR
BALTIMORE, MD 21202
Radiology (Diagnostic Radiology)
301 SAINT PAUL PL, RADIOLOGY DEPT
BALTIMORE, MD 21202
Urology
301 SAINT PAUL PL, POB 802
BALTIMORE, MD 21202
Orthopaedic Surgery
301 SAINT PAUL PL, POB 804
BALTIMORE, MD 21202
Advanced Practice Midwife
301 SAINT PAUL PL, TOWER # 306
BALTIMORE, MD 21202
Physical Therapist
301 SAINT PAUL PL
BALTIMORE, MD 21202

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 Ileana Showalter's NPI number?

The NPI number for Ileana Showalter is 1750370342. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Ileana Showalter located?

Ileana Showalter practices at 301 Saint Paul Pl Suite 612, Baltimore, MD 21202. The listed phone number is (410) 837-6126.

What is Ileana Showalter's specialty?

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

Is Ileana Showalter enrolled in Medicare?

Yes. Ileana Showalter 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.

Is Ileana Showalter affiliated with any hospitals?

According to CMS data, Ileana Showalter is affiliated with Mercy Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Ileana Showalter was last updated on December 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.