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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL A GELFAND MD
NPI 1861706525
Psychiatry & Neurology - Epilepsy in Philadelphia, PA

Active since August 04, 2010PECOS Enrolled
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BOULEVARD, 2ND FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104(215) 662-3606(215) 243-2312 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Dec 4, 2025 (2 updates tracked since 2025).

About Michael A Gelfand Md NPPES

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

MICHAEL A GELFAND MD (NPI 1861706525) is an individual epilepsy provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD452895) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1861706525
Entity TypeIndividualMale
Primary Taxonomy2084E0001X
Provider Legal NameMICHAEL A GELFANDCredential: MD
Location Address3400 CIVIC CENTER BOULEVARD, 2ND FLOOR, SOUTH PAVILIONPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Boulevard, 2nd Floor, South PavilionPhiladelphia, PA 19104-5127 · (215) 662-3606 · Fax (215) 243-2312
Phone(215) 662-3606
Fax(215) 243-2312
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 4, 2010
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1861706525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians
Taxonomy Code2084E0001X
License✔ Licensed in PA · MD452895
Definition
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License MD452895 (PA)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License MD452895 (PA)
3400 CIVIC CENTER BOULEVARD, Philadelphia, PA 19104
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Secondary Practice Location 1

Location 1555 N Duke StLancaster, PA 17602-2250 · Phone (717) 396-9167 · Fax (717) 396-9064

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Michael A Gelfand Md 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 ID4082921374
PECOS Enrollment IDI20150918001755
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 6

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.

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
108 services71 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
61 services61 patients
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.
39 services37 patients
Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional 95718
This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.
37 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services27 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia 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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

LIZA THOMAS CRNP
Nurse Practitioner (Acute Care)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2891
DR. ANASTASSIA AMARO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
HAMDEE Y ATTALLAH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
TRACY S D'ENTREMONT MD
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-5858
DR. JOSHUA DANIEL BRANDSTADTER M.D., PHD
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD, 10TH FLOOR PERELMAN CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3681
NICHOLAS ALEXANDER BEAM
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-0063
MICHAEL S PARMACEK MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
DR. WILLIAM DAVID SCHWEICKERT MD
Internal Medicine (Pulmonary Disease)
3400 CIVIC CENTER BOULEVARD, WEST PAVILLION - 1ST FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3202

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 Michael Gelfand's NPI number?

The NPI number for Michael Gelfand is 1861706525. It was assigned to this individual provider in the NPPES registry on August 4, 2010.

Where is Michael Gelfand located?

Michael Gelfand practices at 3400 Civic Center Boulevard 2nd Floor, South Pavilion, Philadelphia, PA 19104. The listed phone number is (215) 662-3606.

What is Michael Gelfand's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Is Michael Gelfand enrolled in Medicare?

Yes. Michael Gelfand 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 Michael Gelfand accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Gelfand 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 Michael Gelfand affiliated with any hospitals?

According to CMS data, Michael Gelfand is affiliated with Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Michael Gelfand was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.