NATHANIEL ELLIOT EBERSOLE (DO) – Internal Medicine Physician, NPI 1144789165

NATHANIEL ELLIOT EBERSOLE (DO) is a healthcare provider. based in Lynchburg, Virginia. specializing in PEDIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. MED-PHYS-LIC-159111 (MT). The NPI Number for NATHANIEL ELLIOT EBERSOLE (DO) is 1144789165

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL ELLIOT EBERSOLE (DO)
NPI
1144789165
Phone
(708) 927-7336
Address
3500 WEEPING WILLOW DR APT J
Enumeration Date
19 March 2019
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4068835377
Graduation Year
2019 (7 years ago)
PAC ID
1153656426
Group Practice PAC ID
0446230247
Professional Enrollment ID
I20250708004371
Address ID
MT598605315PO6XXXXEXXX400

Contacts

Secure Messaging
nebersol154093@direct.metrohealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness95
Years active:7State licenses:2Other names

1,744 PEDIATRIC MEDICINE in OH

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Provider Addresses for NATHANIEL ELLIOT EBERSOLE (DO)

  • 3500 WEEPING WILLOW DR APT J

    LYNCHBURG, VA 245013980

    Phone: (708) 927-7336

    Type: Mailing

  • MetroHealth Medical Center, 2500, Metrohealth Drive, Brooklyn Centre, Cleveland, Cuyahoga County, Ohio, 44109, United States

    CLEVELAND, OH 441091998

    Phone: (216) 778-4486

    Type: Location

  • 6 13th Ave E

    Polson, MT 598605315

    Phone: (406) 883-5680

    Fax: (406) 883-8910

    Type: Location

  • 2500 METROHEALTH DR

    CLEVELAND, OH 441091900

    Phone: (708) 927-7336

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2025-07-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230523001960IInternal MedicineOHTBD
I20250708004371IInternal MedicineMTTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5454$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 24501)

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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: 0446230247View full group profile
NameSpecialtyState
Family PracticeCA
Physician AssistantWA
Physician AssistantMT
Orthopedic SurgeryNY
Family Practice, Emergency MedicineGA
Physician AssistantMT
-MT
-WA
Interventional Radiology, Diagnostic RadiologyOR
Physician AssistantMT

Reviews

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Frequently asked questions

What NPI should I save for NATHANIEL ELLIOT EBERSOLE (DO)?
Save NPI 1144789165 if you need a stable reference for NATHANIEL ELLIOT EBERSOLE (DO).
Is NATHANIEL ELLIOT EBERSOLE (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize NATHANIEL ELLIOT EBERSOLE (DO)'s specialty in plain language?
Clinically, the directory lists NATHANIEL ELLIOT EBERSOLE (DO) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for NATHANIEL ELLIOT EBERSOLE (DO)?
The page summarizes Lynchburg, Virginia for NATHANIEL ELLIOT EBERSOLE (DO); expand the address list for detail.
What if Lynchburg, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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