Active NPI 1053529214 Individual Practitioner Male Practitioner

Dr. Peter I Ellman , MD

Surgery • Pinehurst, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Ellman, MD is a certified Surgery practicing in Pinehurst, NC. With approximately 26 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 2000, Dr. Ellman delivers high-quality medical care to the local community at 155 MEMORIAL DR.

Dr. Ellman is affiliated with Mcpc-10 Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

155 Memorial Dr

Pinehurst, NC 283748710

Telephone 9107154111

Associated Practice Facility / Clinic

🏢 Pinehurst Pathology Center Inc Facility NPI 1548224009

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Pinehurst, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +0.8 yrs vs City Avg

City Avg: 25.2 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

12 Specialists

Practicing in Pinehurst, NC (1222 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellman (26 Years) 26 Yrs

Pinehurst Specialty Average (25.2 Years) 25.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$211.00	$88.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	13	$114.00	$48.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$410.00	$168.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$511.00	$214.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	48	$206.00	$86.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$410.00	$168.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$501.00	$212.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	18	$137.00	$48.13
33533 Coronary artery bypass using artery graft, 1 graft	21	21	$4566.00	$1678.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$410.00	$157.43
33361 Replacement of aortic valve through the skin and femoral artery	14	14	$5723.00	$680.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	52	$206.00	$88.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	33	$477.00	$193.41
33533 Coronary artery bypass using artery graft, 1 graft	21	21	$4566.00	$1742.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$503.59	$181.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$501.00	$216.22
33517 Combined vein and artery heart artery bypass	12	12	$725.00	$183.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	81	$206.00	$89.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$501.00	$218.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	25	$484.44	$191.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	14	$137.00	$36.66
33533 Coronary artery bypass using artery graft, 1 graft	18	18	$5262.17	$1697.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$410.00	$178.53
33361 Replacement of aortic valve through the skin and femoral artery	13	13	$5723.00	$748.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	78	$180.00	$73.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$477.00	$201.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$487.00	$204.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	19	$137.00	$39.09
33533 Coronary artery bypass using artery graft, 1 graft	22	22	$8743.00	$1657.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$342.00	$143.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$392.00	$161.44
32674 Removal of lymph nodes of chest cavity using an endoscope	11	11	$625.00	$215.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$487.00	$167.57
32663 Examination of lung with removal of lung lobe using an endoscope	11	11	$4049.00	$1394.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	71	$477.94	$197.64
99213 Established patient office or other outpatient visit, typically 15 minutes	62	60	$180.00	$69.94
33533 Coronary artery bypass using artery graft, 1 graft	39	39	$8743.00	$1750.61
99213 Established patient office or other outpatient visit, typically 15 minutes	38	38	$180.00	$49.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$487.00	$195.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	16	$137.00	$38.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$487.00	$164.23
33361 Replacement of aortic valve through the skin and femoral artery	19	19	$5723.00	$832.25
33517 Combined vein and artery heart artery bypass	15	15	$725.00	$182.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$170.00	$71.08
33518 Coronary artery bypass using vein or artery graft, 2 grafts	14	14	$1230.00	$403.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$342.00	$140.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	86	82	$342.00	$117.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	54	$255.00	$81.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	50	$477.00	$213.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$487.00	$179.88
33533 Coronary artery bypass using artery graft, 1 graft	45	45	$8743.00	$1725.60
33518 Coronary artery bypass using vein or artery graft, 2 grafts	26	25	$1230.00	$439.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	16	$137.00	$41.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$392.00	$133.16
33405 Replacement of aortic valve on heart-lung machine	24	24	$9110.00	$2318.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$324.00	$146.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$170.00	$77.95
33361 Replacement of aortic valve through the skin and femoral artery	16	16	$5723.00	$907.35
33430 Replacement of mitral valve on heart-lung machine	12	12	$8441.00	$2858.27
33517 Combined vein and artery heart artery bypass	11	11	$725.00	$199.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	49	$74.00	$41.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$227.00	$153.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	46	$413.61	$190.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	27	$123.91	$37.92
33533 Coronary artery bypass using artery graft, 1 graft	41	41	$8743.10	$1720.01
33361 Replacement of aortic valve through the skin and femoral artery	36	36	$5723.00	$791.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$462.00	$162.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$255.00	$75.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$266.57	$132.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$342.00	$107.32
33518 Coronary artery bypass using vein or artery graft, 2 grafts	18	18	$1230.00	$400.29
33517 Combined vein and artery heart artery bypass	14	14	$725.00	$182.29
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$217.18	$97.70

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101232927

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Mcpc-10 Llc

155 Memorial Dr, Pinehurst, NC 283748710

Phone: 9107154111

Mcpc-10 Llc

155 Memorial Dr, Pinehurst, NC 283748710

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Stephen Davies , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1093030314

Doctor of Medicine (M.D.)

Dr. Thomas Edgerton , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1124012091

Doctor of Medicine (M.D.)

Aubrey Kinsman , PA

Physician Assistant - Surgical

NPI 1518108158

Physician Assistant

Robert Hodge , PA-C

Physician Assistant - Surgical

NPI 1861438590

Physician Assistant (Certified)

Dr. John Krahnert , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1962416032

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 11, 2013

Registered at 155 MEMORIAL DR, PINEHURST, NC 283748710 (Tel: 9107154111)

📍

Updated Business Mailing Address March 11, 2013

Registered at PO BOX 843257, BOSTON, MA 022843257 (Tel: 9107154111)

👤

Provider Name / Credentials Updated March 11, 2013

Recorded as PETER ELLMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2013

Surgery (License #0101232927 in VA)

🟢

Initial NPI Registration & Enumeration May 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1053529214

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 20, 2007

Last Update: March 11, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 843257

Boston, MA 022843257

Phone: 9107154111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.