DR. JAMES FRANKLIN ELMORE M.D.
NPI 1821094772
Internal Medicine in Washington, DC

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
1251-B SARATOGA AVENUE NE UNITY HEALTH CARE, WASHINGTON, DC 20018(202) 469-4699 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James Franklin Elmore M.d. NPPES

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

DR. JAMES FRANKLIN ELMORE M.D. (NPI 1821094772) is an individual internal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (21494) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1991).

NPPES Registry Identity

NPI1821094772
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES FRANKLIN ELMORECredential: M.D.
Location Address1251-B SARATOGA AVENUE NE UNITY HEALTH CAREWashington, DC 20018
Mailing Address1251-b Saratoga Avenue Ne Unity Health CareWashington, DC 20018 · (202) 469-4699
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1991
Enumeration DateJune 24, 2005
Last NPPES UpdateJuly 23, 2024
✔ NPI 1821094772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in DC · 21494✔ Licensed in MD · D0050328✔ Licensed in SC · 34202
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1251-B SARATOGA AVENUE NE UNITY HEALTH CARE, Washington, DC 20018

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. James Franklin Elmore 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 ID1254302763
PECOS Enrollment IDI20250124001623
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 James Elmore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
3020 14TH ST NW
Washington, DC 20009
  • Reassigned Medicare billing, District of Columbia enrollment
  • 343 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
5525 EASTERN AVE
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Baltimore Medical System, Inc.
  • 243 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20018 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6213
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims132 services$8.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 James Elmore's NPI number?

The NPI number for James Elmore is 1821094772. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is James Elmore located?

James Elmore practices at 1251-B Saratoga Avenue NE Unity Health Care, Washington, DC 20018. The listed phone number is (202) 469-4699.

What is James Elmore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Elmore enrolled in Medicare?

Yes. James Elmore 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 James Elmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Elmore reassigns Medicare benefits to 2 organizations: Unity Health Care, Inc. (Washington, DC) and Baltimore Medical Systems, Inc. (Baltimore, MD). 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 James Elmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Elmore was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.