VALERIE A ELENER M.D.
NPI 1801900816
Family Medicine in Wilmington, DE

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
87.51/100
CMS Quality Rating
2500 GRUBB RD, SUITE 212, WILMINGTON, DE 19810(302) 475-5000(302) 475-5200 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Valerie A Elener M.d. NPPES

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

VALERIE A ELENER M.D. (NPI 1801900816) is an individual family medicine provider in Wilmington, Delaware, licensed in Delaware (C1-0003339) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1987).

NPPES Registry Identity

NPI1801900816
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVALERIE A ELENERCredential: M.D.
Location Address2500 GRUBB RD, SUITE 212Wilmington, DE 19810
Mailing Address2500 Grubb Rd, Suite 212Wilmington, DE 19810-4799 · (302) 475-5000 · Fax (302) 475-5200
Fax(302) 475-5200
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1987
Enumeration DateAugust 18, 2006
Last NPPES UpdateFebruary 19, 2013
NPI 1801900816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in DE · C1-0003339
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2500 GRUBB RD, Wilmington, DE 19810

Other Identifiers 3

Medicare ID-Type Unspecified432652B57
Medicare UPINF45964
Medicaid0000452101DE

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

Valerie A Elener 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 ID8224130919
PECOS Enrollment IDI20101014001289
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 13

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 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.
579 services260 patients
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.
345 services193 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
138 services138 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
48 services44 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
39 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19810 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

87.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.94
Promoting Interoperability100
Improvement Activities40
Cost67.43

Reported Quality Measures

Advance Care Plan
5%467 patients1/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
98%132 patients4/55-star benchmark: 100%
Breast Cancer Screening
65%542 patients3/55-star benchmark: 93%
Chlamydia Screening for Women
30%86 patients
Closing the Referral Loop: Receipt of Specialist Report
36%230 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
34%1,052 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
61%600 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%200 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
19%200 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%5,596 patients4/55-star benchmark: 100%
e-Prescribing
99%3,655 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%452 patients1/55-star benchmark: 100%
HIV Screening
17%1,617 patients2/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
43%3,223 patients3/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
91%1,575 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 445 patients
Patients totalRate: 10% · 482 patients
10%482 patients4/55-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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers42 claims123 services$5.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers23 claims29 services$0.80 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 12

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

Eyewear Supplier
2500 GRUBB RD, SUITE 234
WILMINGTON, DE 19810
Ophthalmology
2500 GRUBB RD, SUITE 234
WILMINGTON, DE 19810
Psychologist
2500 GRUBB RD, SUITE 240
WILMINGTON, DE 19810
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Family)
2500 GRUBB RD, SUITE 240
WILMINGTON, DE 19810
Family Medicine
2500 GRUBB RD, SUITE 212
WILMINGTON, DE 19810
Psychologist (Clinical)
2500 GRUBB RD, SUITE 240
WILMINGTON, DE 19810
Internal Medicine
2500 GRUBB RD, SUITE 120
WILMINGTON, DE 19810
Optometrist
2500 GRUBB RD
WILMINGTON, DE 19810

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 Valerie Elener's NPI number?

The NPI number for Valerie Elener is 1801900816. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Valerie Elener located?

Valerie Elener practices at 2500 Grubb Rd Suite 212, Wilmington, DE 19810. The listed phone number is (302) 475-5000.

What is Valerie Elener's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Valerie Elener enrolled in Medicare?

Yes. Valerie Elener 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 Valerie Elener accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Valerie Elener 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.

When was this NPI record last updated?

The NPPES record for Valerie Elener was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.