DR. ELSA K. MALCOLM (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1467478669

DR. ELSA K. MALCOLM (M.D.) is a healthcare provider. based in Mequon, Wisconsin. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 35-07-9416-M (OH). The NPI Number for DR. ELSA K. MALCOLM (M.D.) is 1467478669

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELSA K. MALCOLM (M.D.)
NPI
1467478669
Phone
(262) 240-9870
Address
10335 N PORT WASHINGTON RD
Enumeration Date
14 July 2006
Last Update Date
1 November 2007

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
41939433353569
Graduation Year
1996 (30 years ago)
PAC ID
5496932949
Group Practice PAC ID
3870491590
Professional Enrollment ID
I20110609000208
Address ID
OH458852400SA200XXAVEX400
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

749 PATHOLOGY in OH

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Provider Addresses for DR. ELSA K. MALCOLM (M.D.)

  • 10335, North Port Washington Road, Mequon, Ozaukee County, Wisconsin, 53092, United States

    SUITE 250

    MEQUON, WI 530925763

    Phone: (262) 240-9870

    Fax: (262) 240-9869

    Type: Mailing

  • Saint Rita Hospital, 730, West Market Street, Lima, Allen County, Ohio, 45801, United States

    LIMA, OH 458014602

    Phone: (419) 221-2042

    Fax: (419) 996-5298

    Type: Location

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: 2011-06-09

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
I20110609000208IPathologyOHTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,029608$0
88341Special stained specimen slides to examine tissue, each additional procedure22559$0
88342Special stained specimen slides to examine tissue, initial procedure126103$0
88112Cell examination of specimen, selective cellular enhancement technique120103$0
88307Pathology examination of tissue using a microscope, moderately high complexity8972$0
View full utilization report →

Insurance plans in this area (ZIP 53092)

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Provider's Procedures

DR. ELSA K. MALCOLM (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYOH88307Pathology examination of tissue using a microscope, moderately high complexity9774
PATHOLOGYOH88342Tissue or cell analysis by immunologic technique5451

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: 3870491590View full group profile
NameSpecialtyState
Nurse PractitionerOH
Internal MedicineOH
P A T H O L O G YWI
Emergency MedicineOH
Nurse PractitionerOH
Internal Medicine, Family PracticeOH
-OH
-OH
Physician AssistantOH
P A T H O L O G YOH

Reviews

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Frequently asked questions

Is there an official ID for DR. ELSA K. MALCOLM (M.D.) in U.S. healthcare records?
The official identifier for DR. ELSA K. MALCOLM (M.D.) is NPI 1467478669.
Is there an active status for DR. ELSA K. MALCOLM (M.D.)?
For scheduling context, DR. ELSA K. MALCOLM (M.D.) is shown as active in the registry.
What area of care is associated with DR. ELSA K. MALCOLM (M.D.)?
DR. ELSA K. MALCOLM (M.D.)'s record emphasizes Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is DR. ELSA K. MALCOLM (M.D.) located near Mequon?
DR. ELSA K. MALCOLM (M.D.) currently maps to Mequon, Wisconsin in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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