Elena I Fomchenko, MD, PHD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD481326 Issued in PA

Practice address

2315 Myrtle St Ste L90
Erie, PA 16502-4607

Phone

(814) 452-7575

NPI assigned

May 6, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allegheny Clinic

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493
  Medicare reassignment NPD
• Allegheny Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD
• Allegheny Clinic

  • Neurological Surgery Physician
  • Pittsburgh, PA
  • NPI 1275533515
  NPD
• Allegheny Clinic

  • Neurology Physician
  • Pittsburgh, PA
  • NPI 1821098260
  NPD (past)
• Saint Vincent Health Center

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1861435042
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1336584259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L90",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024607",
            "telephone_number": "814-452-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L90",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024607",
            "telephone_number": "814-452-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMCHENKO",
        "first_name": "ELENA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD481326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15956049",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Fogleboch, LPN
• Katherine Foley, M.D.
• Shannon R Folga, MSN, CRNA
• Follow My Lead Counseling LLC
• Kathy S Foltz, CRNP
• Suzanne Marie Fontecchio, CRNP
• Deonte Leroy Ford, LCSW
• Patirica Ford
• Krystal Marie Fordoski, O.D.
• Brett R Forehand, MD

• Neurological Surgery Physician in Erie, PA
• Providers in Erie, PA by specialty
• Neurological Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.