DR. ANDREW W ELLER MD
NPI 1518930833
Specialist in Pittsburgh, PA


Quality Rating: 75.4 out of 100 score

NPI Status: Active since February 08, 2006

Contact Information

203 LOTHROP ST
EEI 7TH FLOOR
PITTSBURGH, PA
ZIP 15213
Phone: (412) 647-2200

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  • Individual
  • Male
  • Years of Experience 47
  • Specialist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANDREW ELLER

This page provides the complete NPI Profile along with additional information for Andrew Eller, a provider established in Pittsburgh, Pennsylvania with a medical specialization in Specialist and more than 47 years of experience. The healthcare provider is registered in the NPI registry with number 1518930833 assigned on February 2006. The practitioner's primary taxonomy code is 174400000X with license number MD023708E (PA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1518930833
Provider Name
DR. ANDREW W ELLER MD
Gender
Male
Entity Type
Individual
Location Address
203 LOTHROP ST EEI 7TH FLOOR PITTSBURGH, PA 15213
Location Phone
(412) 647-2200
Mailing Address
203 LOTHROP ST EEI 7TH FLOOR PITTSBURGH, PA 15213
Mailing Phone
(412) 647-2200
Medical School Name
OTHER
Graduation Year
1979
Is Sole Proprietor?
Yes
Enumeration Date
02-08-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MD023708E
License State
PA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B33468MEDICARE UPIN (02)PA 
022479FFFMEDICARE ID-TYPE UNSPECIFIED (04)PA 

Medicare Participation & PECOS Enrollment Status

Andrew Eller is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Andrew Eller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1951597426

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101123000378

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cataract surgery

Cataract surgery is a procedure to remove the lens of your eye when it becomes cloudy, which is called a cataract. A synthetic lens is then inserted to restore clear vision. The operation is typically done on an outpatient basis and is very safe and effective.

This service was performed for 1-10 patients

Compounded drug, not otherwise classified

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

This service was performed 70 times for 25 patients

Established patient complete exam of visual system

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

This service was performed 85 times for 78 patients

Established patient office or other outpatient visit, 10-19 minutes

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.

This service was performed 80 times for 76 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 49 times for 48 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 13 times for 13 patients

Established patient problem focused exam of visual system

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

This service was performed 154 times for 92 patients

Imaging of retina

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

This service was performed 425 times for 191 patients

Injection of drug into eye

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

This service was performed 295 times for 87 patients

Injection, aflibercept, 1 mg

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

This service was performed 474 times for 55 patients

New patient complete exam of visual system

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

This service was performed 13 times for 13 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75.4, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 75.4 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 55.27

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrew Eller is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UPMC PRESBYTERIAN SHADYSIDE200 LOTHROP STREET
PITTSBURGH, PA 15213
(412) 647-8788Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518930833
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528183086
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 8 + 3 + 0 + 8 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1518930833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437142163 CRAIG A LUCHANSKY OD
Individual
Optometrist203 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-2200
1225000193DR. PUWAT CHARUKAMNOETKANOK MD
Individual
Specialist203 LOTHROP ST EEI 7TH FLOOR
PITTSBURGH, PA 15213
(412) 647-2200
1588637094DR. DEEPINDER KAUR DHALIWAL MD
Individual
Specialist203 LOTHROP ST EEI 7TH FLOOR
PITTSBURGH, PA 15213
(412) 647-2200
1588638217DR. ROBERT JOHN NOECKER MD
Individual
Specialist203 LOTHROP ST SUITE 820
PITTSBURGH, PA 15213
(412) 647-2152
1124093091 CHOLLAPADI V SUNDAR-RAJ OD
Individual
Optometrist203 LOTHROP ST 8TH FLOOR, EEINS
PITTSBURGH, PA 15213
(412) 647-2214
1205804788DR. SHARON LYNN TIESI AUD
Individual
Audiologist203 LOTHROP ST 500 EEINS
PITTSBURGH, PA 15213
(412) 647-2130
1831129899 JONATHAN URFFER M.D.
Individual
Specialist203 LOTHROP ST SUITE 300
PITTSBURGH, PA 15213
(412) 647-2100
1194749374 AHMED AL-GHOUL MD
Individual
Ophthalmology203 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-2200
1700895281UNIVERSITY OF PITTSBURGH PHYSICIANS
Organization
Eyewear Supplier203 LOTHROP ST 7TH FLOOR EYE & EAR INSTITUTE
PITTSBURGH, PA 15213
(412) 647-0943
1356452072 BETHANY ANKE SLP
Individual
Speech-Language Pathologist203 LOTHROP ST 500
PITTSBURGH, PA 15213
(412) 647-2130
1548363773 DANIELLE COLUMBE SLP
Individual
Speech-Language Pathologist203 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-4959
1588767057MRS. JOAN AMY BUCHOLTZ SLP
Individual
Speech-Language Pathologist203 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-2130
1659442978 PATRICK J SPARTO
Individual
Physical Therapist203 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-8091
1154531291DR. MICHAEL JOSEPH POKABLA DO
Individual
Ophthalmology203 LOTHROP ST EEI 7TH FLOOR
PITTSBURGH, PA 15213
(412) 647-2200
1760672844 DARCY R NUNN
Individual
Physical Therapist203 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-8091
1376734095DR. GUILLERMO AMESCUA MD
Individual
Ophthalmology203 LOTHROP ST SUITE 800
PITTSBURGH, PA 15213
(412) 647-2256
1508055898 ALEX MAMMEN MD
Individual
Ophthalmology203 LOTHROP ST EEI 7TH FLOOR
PITTSBURGH, PA 15213
(412) 647-2200
1336327634DR. APOSTOLOS CHRISTOPOULOS M.D.
Individual
Otolaryngology203 LOTHROP ST EYE AND EAR BUILDING. SUITE 500
PITTSBURGH, PA 15213
(412) 647-6110
1881854297 AUDREY A CHAN MD
Individual
Ophthalmology203 LOTHROP ST EEI 7TH FLOOR
PITTSBURGH, PA 15213
(412) 647-2200
1144457748UPMC
Organization
Special Hospital203 LOTHROP ST
PITTSBURGH, PA 15213
(412) 647-2200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518930833, enumerated in the NPI registry as an "individual" on February 08, 2006

The provider is located at 203 Lothrop St Eei 7th Floor Pittsburgh, Pa 15213 and the phone number is (412) 647-2200

The provider's speciality is Specialist with taxonomy code 174400000X

The provider has more than 47 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

The most common procedures or services performed by this practitioner are: Cataract surgery, Compounded drug, not otherwise classified, Established patient complete exam of visual system, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient problem focused exam of visual system, Imaging of retina, Injection of drug into eye, Injection, aflibercept, 1 mg and New patient complete exam of visual system.

The practitioner is affiliated to the following hospital(s): UPMC PRESBYTERIAN SHADYSIDE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on February 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.