ELANA CHLOE MCTAVISH PA-C
NPI 1962921023
Physician Assistant - Surgical in Bridgeport, CT

Active since September 10, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
267 GRANT ST, BRIDGEPORT, CT 06610(203) 384-3000 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2024, Oct 7, 2022, Mar 24, 2020 (3 updates tracked since 2020).

About Elana Chloe Mctavish Pa-c NPPES

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

ELANA CHLOE MCTAVISH PA-C (NPI 1962921023) is an individual surgical provider in Bridgeport, Connecticut, licensed in Connecticut (22237083) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962921023
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameELANA CHLOE MCTAVISHCredential: PA-C
Location Address267 GRANT STBridgeport, CT 06610-2870
Mailing Address122 Meadow Hills DrGuilford, CT 06437-1253
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 10, 2017
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
NPI 1962921023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 22237083
267 GRANT ST, Bridgeport, CT 06610

Other Names 1

Former Name (1)Elana Chloe O'hara Pa-c

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

Elana Chloe Mctavish Pa-c 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 ID3678902624
PECOS Enrollment IDI20250109000349
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 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
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.

Physician Assistant (Surgical)
267 GRANT ST
BRIDGEPORT, CT 06610
Nurse Practitioner (Psychiatric/Mental Health)
267 GRANT ST
BRIDGEPORT, CT 06610
Anesthesiology (Pain Medicine)
267 GRANT ST
BRIDGEPORT, CT 06610
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Physical Therapy Assistant
267 GRANT ST
BRIDGEPORT, CT 06610
Nurse Practitioner (Pediatrics)
267 GRANT ST
BRIDGEPORT, CT 06610
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610
Physical Therapist
267 GRANT ST
BRIDGEPORT, CT 06610

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 Elana Mctavish's NPI number?

The NPI number for Elana Mctavish is 1962921023. It was assigned to this individual provider in the NPPES registry on September 10, 2017. The provider is also known as Elana Chloe O'hara Pa-C.

Where is Elana Mctavish located?

Elana Mctavish practices at 267 Grant St, Bridgeport, CT 06610. The listed phone number is (203) 384-3000.

What is Elana Mctavish's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Elana Mctavish enrolled in Medicare?

Yes. Elana Mctavish 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 Elana Mctavish accept?

Health plans from Medica list Elana Mctavish 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 Elana Mctavish was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.