ELSA MONTOYA AGUILAR
NPI 1851882435
Family Medicine - Hospice and Palliative Medicine in Harrisburg, PA

Active since May 19, 2018PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
4310 LONDONDERRY RD STE 109, HARRISBURG, PA 17109(717) 988-0611 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 20, 2022, May 19, 2018 (2 updates tracked since 2018).

About Elsa Montoya Aguilar NPPES

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

ELSA MONTOYA AGUILAR (NPI 1851882435) is an individual hospice and palliative medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD475857) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1851882435
Entity TypeIndividualFemale
Primary Taxonomy207QH0002X
Provider Legal NameELSA MONTOYA AGUILAR
Location Address4310 LONDONDERRY RD STE 109Harrisburg, PA 17109-5329
Mailing Address4310 Londonderry Rd Ste 109Harrisburg, PA 17109-5329 · (717) 988-0611
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 19, 2018
Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
NPI 1851882435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License Licensed in PA · MD475857
Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MT214968 (PA)
4310 LONDONDERRY RD STE 109, Harrisburg, PA 17109

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

Elsa Montoya Aguilar 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 ID2769730597
PECOS Enrollment IDI20220706000218
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
124 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services75 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
27 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Lititz

Acute Care Hospitals · Lititz, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390068
Location1500 Highlands DriveLititz, PA 17543 · Lancaster County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
4310 LONDONDERRY RD STE 109
HARRISBURG, PA 17109
Family Medicine (Hospice and Palliative Medicine)
4310 LONDONDERRY RD STE 109
HARRISBURG, PA 17109
Nurse Practitioner (Family)
4310 LONDONDERRY RD STE 109
HARRISBURG, PA 17109
Social Worker (Clinical)
4310 LONDONDERRY RD STE 109
HARRISBURG, PA 17109
Internal Medicine (Hospice and Palliative Medicine)
4310 LONDONDERRY RD STE 109
HARRISBURG, PA 17109
Nurse Practitioner (Acute Care)
4310 LONDONDERRY RD STE 109
HARRISBURG, PA 17109
Nurse Practitioner
4310 LONDONDERRY RD STE 109
HARRISBURG, PA 17109
Nurse Practitioner (Family)
4310 LONDONDERRY RD STE 109
HARRISBURG, PA 17109

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 Elsa Montoya Aguilar's NPI number?

The NPI number for Elsa Montoya Aguilar is 1851882435. It was assigned to this individual provider in the NPPES registry on May 19, 2018.

Where is Elsa Montoya Aguilar located?

Elsa Montoya Aguilar practices at 4310 Londonderry Rd Ste 109, Harrisburg, PA 17109. The listed phone number is (717) 988-0611.

What is Elsa Montoya Aguilar's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Elsa Montoya Aguilar enrolled in Medicare?

Yes. Elsa Montoya Aguilar 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 Elsa Montoya Aguilar affiliated with any hospitals?

According to CMS data, Elsa Montoya Aguilar is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals, Upmc Lititz, Upmc Memorial and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Elsa Montoya Aguilar was last updated on December 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.