WILLIAM A ELDER (MD) – Family Medicine Physician, NPI 1710914833

WILLIAM A ELDER (MD) is a healthcare provider. based in Fredericktown, Ohio. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 35.046307 (OH). The NPI Number for WILLIAM A ELDER (MD) is 1710914833

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM A ELDER (MD)
NPI
1710914833
Phone
(740) 694-1261
Address
122 COLUMBUS RD
Enumeration Date
26 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
7403921181
Graduation Year
1980 (46 years ago)
PAC ID
0941333678
Group Practice PAC ID
3971748716
Professional Enrollment ID
I20100802000956
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for WILLIAM A ELDER (MD)

  • Columbus Road, Fredericktown, Wayne Township, Knox County, Ohio, 43019, United States

    FREDERICKTOWN, OH 430191266

    Phone: (740) 694-1261

    Fax: (740) 694-7145

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-11-01 • Largest payer in this snapshot: ABBVIE INC. ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$34
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: 2010-08-02

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
I20100802000956IFamily PracticeOHTBD

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 43019)

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Provider's Procedures

WILLIAM A ELDER (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH81002Urinalysis, manual test10172

Reviews

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Frequently asked questions

How do payers reference WILLIAM A ELDER (MD)?
For WILLIAM A ELDER (MD), use NPI 1710914833 as the unique 10-digit identifier.
Active or inactive — what applies to WILLIAM A ELDER (MD)?
You should see WILLIAM A ELDER (MD) as active in CMS-hosted NPPES data.
What kind of doctor is WILLIAM A ELDER (MD)?
WILLIAM A ELDER (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with WILLIAM A ELDER (MD)?
Directory geography for WILLIAM A ELDER (MD) centers on Fredericktown, Ohio.
Can I trust this NPI listing for WILLIAM A ELDER (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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