DR. ADRIAN EDWARD JOHN ELLIOT M.D.
NPI 1639333834
Emergency Medicine in Great Barrington, MA


Quality Rating: 92.04 out of 100 score

NPI Status: Active since July 16, 2008

Contact Information

29 LEWIS AVE
GREAT BARRINGTON, MA
ZIP 01230
Phone: (413) 528-8606

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  • Individual
  • Male
  • Years of Experience 18
  • Emergency Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ADRIAN ELLIOT

This page provides the complete NPI Profile along with additional information for Adrian Elliot, a provider established in Great Barrington, Massachusetts with a medical specialization in Emergency Medicine and more than 18 years of experience. He graduated from Howard University College Of Medicine in 2008. The healthcare provider is registered in the NPI registry with number 1639333834 assigned on July 2008. The practitioner's primary taxonomy code is 207P00000X with license number 247068 (MA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1639333834
Provider Name
DR. ADRIAN EDWARD JOHN ELLIOT M.D.
Gender
Male
Entity Type
Individual
Location Address
29 LEWIS AVE GREAT BARRINGTON, MA 01230
Location Phone
(413) 528-8606
Mailing Address
29 LEWIS AVE GREAT BARRINGTON, MA 01230
Mailing Phone
(413) 528-8606
Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year
2008
Is Sole Proprietor?
No
Enumeration Date
07-16-2008
Last Update Date
05-05-2022
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
247068
License State
MA
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Medicare Participation & PECOS Enrollment Status

Adrian Elliot 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.

Adrian Elliot 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: 9436319654

    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: I20120327000155

    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

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.67 for a new patient copayment and $25.87 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 01230 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.7
  • Minimum New Patient Price $58.86
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $22.67
  • Minimum New Patient Copayment $14.71
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.48
  • Minimum Established Patient Price $19.11
  • Maximum Established Patient Price $144.84
  • Average Established Patient Copayment $25.87
  • Minimum Established Patient Copayment $4.77
  • Maximum Established Patient Copayment $36.21

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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 92.04, 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: 92.04 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: 78.2

    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.

Reviews for DR. ADRIAN EDWARD JOHN ELLIOT M.D.

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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.
1639333834
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266963686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 3 + 6 + 8 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1639333834 is valid because the calculated check digit 4 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
1013998244DR. KERSTIN L. VOSS MD
Individual
Hospitalist29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 528-0790
1639121593 RENU AGARWAL MD FCCP
Individual
Internal Medicine (Critical Care Medicine)29 LEWIS AVE FAIRVIEW HOSPITAL PULMONARY MEDICINE
GREAT BARRINGTON, MA 01230
(413) 854-9879
1730112251FAIRVIEW HOSPITAL
Organization
General Acute Care Hospital (Critical Access)29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 528-0790
1427150374 KENNETH PATTERSON M.D.
Individual
Emergency Medicine29 LEWIS AVE FAIRVIEW HOSPITAL EMERGENCY DEPT
GREAT BARRINGTON, MA 01230
(413) 854-9638
1558461087 BRUCE NAYOWITH M.D.
Individual
Emergency Medicine29 LEWIS AVE FAIRVIEW HOSPITAL EMERGENCY DEPT
GREAT BARRINGTON, MA 01230
(413) 854-9638
1851489264 SHARYN A HICKEY NP
Individual
Nurse Practitioner29 LEWIS AVE FAIRVIEW CARDIOLOGY
GT BARRINGTON, MA 01230
(413) 854-9777
1124103577 WILLIAM DEMARCO DO
Individual
Internal Medicine29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 496-6820
1235279597MS. GAYLE ARMSTRONG NP
Individual
Nurse Practitioner (Family)29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 854-9638
1376672519DR. BRIAN BURKE
Individual
Emergency Medicine29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 854-9628
1942474176FAIRVIEW HOSPITAL
Organization
General Acute Care Hospital (Critical Access)29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 528-0790
1578893582 MELANIE SESERMAN RD
Individual
Dietitian, Registered29 LEWIS AVE FAIRVIEW HOSPITAL FOURTH FLOOR
GT BARRINGTON, MA 01230
(413) 528-8580
1962756106 MELINDA S COUTURE RD, LDN
Individual
Dietitian, Registered29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 854-9662
1174689467FAIRVIEW HOSPITAL
Organization
Medicare Defined Swing Bed Unit29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 528-0790
1255635165 ROBERT ADAM HOECHSTER R.D.
Individual
Dietitian, Registered29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 854-9661
1386085165DR. RAHUL CHANDRA SHEKHAR M.D.
Individual
Hospitalist29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 528-8600
1386149136 MARSHA MARIE FRYE-MOQUIN RN, MSW, LICSW, CCM
Individual
Registered Nurse (Case Management)29 LEWIS AVE
GT BARRINGTON, MA 01230
(413) 854-9636
1326442203MRS. LAURIE JEAN BASINAIT
Individual
Family Medicine (Adult Medicine)29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 528-0790
1598127235DR. MARK ANTHONY TAYLOR II MD
Individual
Surgery29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 854-9638
1578113858 NIC'COLE ASHLEY LAMBERT-TALHAOUI APRN
Individual
Nurse Practitioner (Adult Health)29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 854-9777
1538629050DR. ELEANOR RAGONE DO
Individual
Emergency Medicine29 LEWIS AVE
GREAT BARRINGTON, MA 01230
(413) 528-0790

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639333834, enumerated in the NPI registry as an "individual" on July 16, 2008

The provider is located at 29 Lewis Ave Great Barrington, Ma 01230 and the phone number is (413) 528-8606

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider has more than 18 years of experience. He graduated from Howard University College Of Medicine in 2008.

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.

Medicare beneficiaries should expect a typical cost of $90.7 with an average copayment of $22.67 for new patient appointments. Established patients should expect a typical charge of $103.48 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 16, 2008. 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].
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