ELLIOTT MCPHERSON (PA) – Surgical Physician Assistant, NPI 1881653475

Surgical Physician Assistant

ELLIOTT MCPHERSON (PA) is a healthcare provider. based in Newark, Delaware. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. C5-0000698 (DE). The NPI Number for ELLIOTT MCPHERSON (PA) is 1881653475

Main info

Male

25 Years Of Experience

Accepts Medicare Assignment

Name

ELLIOTT MCPHERSON (PA)

NPI

1881653475

Phone

(302) 733-2438

Address

4755 Ogletown Stanton Rd Ste 2670

Enumeration Date

22 March 2006

Last Update Date

21 November 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3026233850

Graduation Year

2001 (25 years ago)

PAC ID

9537141676

Group Practice PAC ID

9739097569

Professional Enrollment ID

I20231130003867

Address ID

DE198011013WI501XXSURG701

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:20State licenses:1Digital endpointsOther names

757 PHYSICIAN ASSISTANT in DE

Provider Addresses for ELLIOTT MCPHERSON (PA)

4755 Ogletown Stanton Rd Ste 2670
Newark, DE 197181101
Phone: (302) 733-2438
Fax: (302) 733-4832
Type: Location
Bellet Building, 245, North 15th Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19108, United States
PHILADELPHIA, PA 191021101
Phone: (215) 762-4312
Fax: (215) 762-8656
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-11-30

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20231130003867	I	Physician Assistant	DE	TBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19718)

Loading plans...

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: 9739097569View full group profile

Name	Specialty	State
KATHY ELAINE GALLAGHER (APN)	-	DE
MICHAELA T. RIORDAN	-	DE
PAUL C ANDERSON (MD)	-	DE
DR. ANITA OTT (DO)	-	PA
DR. AZITA RAVANBAKHSH (M.D)	Internal Medicine	DE
CHRISTINE M. KOENIGBAUER (PA-C)	Physician Assistant	DE
AMY SUSAN BLAKE (FNP-BC)	Nurse Practitioner	PA
DR. FAUZIA KHALID BUTT (MD)	General Surgery	IL
DR. THOMAS KAYSEE CHACKO (M.D.)	Diagnostic Radiology	NY
DR. DINESH KOMMAREDDY (MD)	Internal Medicine	NY