ELISHA T IV POWELL (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1255345641

ELISHA T IV POWELL (MD) is a healthcare provider. based in Eagle river, Alaska. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 6417 (AK). The NPI Number for ELISHA T IV POWELL (MD) is 1255345641

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
ELISHA T IV POWELL (MD)
NPI
1255345641
Phone
(907) 562-2277
Address
13015 Old Glenn Hwy Ste 100
Enumeration Date
28 July 2006
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9075622277
Graduation Year
1987 (39 years ago)
PAC ID
7517034549
Group Practice PAC ID
2961705520
Professional Enrollment ID
I20080917000447
Address ID
AK995085234AN3801XPKWY402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

87 ORTHOPEDIC SURGERY in AK

Provider Addresses for ELISHA T IV POWELL (MD)

  • 13015 Old Glenn Hwy Ste 100

    Eagle River, AK 995777572

    Phone: (907) 562-2277

    Fax: (907) 563-3460

    Type: Location

  • Lake Otis Parkway, Anchorage, Alaska, 99507, United States

    ANCHORAGE, AK 995085234

    Phone: (907) 562-2277

    Fax: (907) 563-3460

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $325.

Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($123).

Total Amount

$325

General + Research + Ownership

Payments

7

Total payment records

General Amount

$325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080917000447IOrthopedic SurgeryAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes188152$0
73564X-ray of knee, 4 or more views6350$0
99204New patient office or other outpatient visit, 45-59 minutes4545$0
27447Replacement of knee joint, both sides of knee4239$0
73030X-ray of shoulder, minimum of 2 views3226$0
View full utilization report →

Insurance plans in this area (ZIP 99577)

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Provider's Procedures

ELISHA T IV POWELL (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYAK27447Repair of knee joint1717

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961705520View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeAK
Physician AssistantAK
Orthopedic SurgeryAK
P O D I A T R YTX
Family PracticeWA
Nurse PractitionerAK
Physician AssistantAK
-AK
Family Practice, Osteopathic Manipulative MedicineAK
Pain Management, Physical Medicine And RehabilitationAK

Reviews

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Frequently asked questions

What number should I use to identify ELISHA T IV POWELL (MD) for billing?
Administrative and clinical systems typically use NPI 1255345641 for ELISHA T IV POWELL (MD).
Does the public listing show ELISHA T IV POWELL (MD) as active?
ELISHA T IV POWELL (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret ELISHA T IV POWELL (MD)'s specialty?
The extract shows Sports Medicine (Orthopaedic Surgery) Physician for ELISHA T IV POWELL (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to ELISHA T IV POWELL (MD)?
ELISHA T IV POWELL (MD) shows a connection to Eagle River, Alaska in registry-derived data.
Why is information missing for ELISHA T IV POWELL (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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