Dr. Dirk Michael Elston, MD

  • Mount Pleasant, SC
  • Dermatologist
NPI1669449161PAC ID0244126183
Medicare services, 2024
5,320
Medicare patients, 2024
1,632
Part D claims, 2024
1,772
Publications
165
MIPS score, 2024
79
Practice address
1208 2 Island Ct, Mount Pleasant, SC 29466
Practice phone
Call (803) 286-4666
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

MUSC Physicians

Mount Pleasant, South Carolina

See all 11 affiliations

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Dr. Dirk Michael Elston is a dermatologist in Mount Pleasant, South Carolina

Dr. Elston practices at MUSC Physicians in Mount Pleasant, South Carolina.

Dr. Elston's NPI, 1669449161, was assigned on March 2, 2006. Dr. Elston graduated from Jefferson Medical College of Thomas Jefferson University in 1982. Dr. Elston holds South Carolina license 35527.

NPI and contact details
Medicare PAC ID
0244126183
NPI enumeration date
March 2, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(803) 286-4666
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
70
Medical school graduation
1982

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Dirk Michael Elston practices at MUSC Physicians in Mount Pleasant, South Carolina

Dr. Elston's primary practice is MUSC Physicians, at 1208 2 Island Ct, Mount Pleasant, SC 29466 in Charleston County. The practice phone is (803) 286-4666.

  • MUSC Physicians
    1208 2 Island Ct, Mount Pleasant, SC 29466 · Charleston CountyPhone(803) 286-4666

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Dirk Michael Elston is affiliated with 7 sites of care and 4 medical groups

Dr. Elston's primary practice is MUSC Physicians in Mount Pleasant, South Carolina. Dr. Elston is also affiliated with MUSC Health University Medical Center. The medical group on file is MUSC Health. Dmand AI also links Dr. Elston to 2 more hospitals, 3 group practices and clinics and 3 medical groups, each named with a free account.

See all 11 affiliations for Dr. Elston

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Dirk Michael Elston's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Elston practices, 6 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
MUSC PhysiciansAvailable with a free account
+6 more sites and 3 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Dirk Michael Elston is one of 161 dermatologists in South Carolina

Dermatology is Dr. Elston's primary specialty in the NPI Registry, under taxonomy code 207N00000X. Dmand AI has Dr. Elston's licenses on file in 3 states: South Carolina, New York and Pennsylvania.

Specialties and state licenses

  • Dermatology, South CarolinaPrimaryLicense 35527 · taxonomy 207N00000X
  • New York licenseLicense 260871
  • Dermatopathology (pathology), PennsylvaniaLicense MD033258E · taxonomy 207ZD0900X

Dermatologists near Dr. Elston

Counts of dermatologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Dirk Michael Elston billed Medicare for 5,320 services in 2024

CMS data shows 5,320 Medicare services from Dr. Elston across 28 procedure codes in 2024, for 1,632 Medicare patients. Medicare paid $257,577 for them.

Medicare services, 20245,320
Medicare patients1,632
Paid by Medicare$257,577
Procedure codes28

Dr. Elston's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Surgery
2023: 1,3132024: 2,13062%
Office and hospital visits
2023: 1,1732024: 1,35716%
Lab and pathology
2023: 1,5122024: 1,14624%
Other services
2023: 02024: 344
Drugs given in the office
2023: 1412024: 22962%
Tests and treatments
2023: 642024: 11478%

Where Dr. Elston's Medicare services took place, 2024

  • In an office3,99375%
  • In a facility1,32725%

Dr. Elston compared with the South Carolina median for dermatologists, 2024

  • Dr. Elston
  • South Carolina median
Medicare services
5,320vs 3,99133% above
Medicare patients
1,632vs 1,00463% above
Part D claims
1,580vs 6102.6 times

Medians across 157 dermatologists in South Carolina with Dmand AI profiles that report each measure.

Dr. Elston's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Elston

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Dirk Michael Elston treated 1,632 Medicare patients in 2024, average age 75

CMS counts 1,632 Medicare patients who saw Dr. Elston in 2024. The largest group is 65 to 74, with 767 patients. 75% of them have high cholesterol, and 67% have high blood pressure. 2% are also on Medicaid. Their average risk score is 1.03, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Elston's median patient age at 65, with 58% women.

Medicare patients, 20241,632
Average age75
Average risk score1.03
Also on Medicaid2%

Dr. Elston's Medicare patients by age, 2024

Dr. Elston's Medicare patients by sex, 2024

  • Women83551%
  • Men79749%

Chronic conditions among Dr. Elston's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure67%
  3. Arthritis46%
  4. Ischemic heart disease22%
  5. Anxiety19%
  6. Diabetes19%
  7. Osteoporosis18%
  8. Atrial fibrillation17%

Share of Medicare patients with each condition. A patient can have several.

Dr. Elston's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 65

Patient panel by sex, all payers

  • Women58%
  • Men42%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Dirk Michael Elston wrote 1,772 Medicare Part D claims in 2024

In 2024, Dr. Elston wrote 1,772 Medicare Part D claims for 421 patients. 65% of them were for generic drugs. CMS names the drug for 1,580 of them, across 45 drugs with 11 or more claims each, at $4,628,765 in total drug cost. In 2023, CMS named 1,792 claims across 46 drugs.

Part D claims, 20241,772
Drugs named by CMS45
Total drug cost$4.6M
Part D patients421

Dr. Elston's Part D claims by kind of drug, 2024

  • Generic1,150 claims65%
  • Brand-name611 claims34%
  • Other11 claims1%

Dr. Elston's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Elston's Part D claims, 2024

  • Antibiotics3%59 of 1,772 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,7922024: 1,58012%

Drugs named by CMS: 45 in 2024, 46 in 2023.

See all prescribing by Dr. Elston

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Dirk Michael Elston scored 79 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 79 out of 100 for Dr. Elston for performance year 2024, reported as part of a group. Dr. Elston accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Elston as offering telehealth. CMS counts 591 procedures of removal of skin lesions by Dr. Elston, more than 88% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Elston's MIPS scores, performance year 2024

  • 79of 100Final score
  • 62.4of 100Quality
  • 99of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Elston ranks in Medicare procedure volume

Removal of skin lesions
88th percentile591 procedures
Skin biopsy
82nd percentile165 procedures
Removal or shaving of skin growth
72nd percentile22 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)

Removal of nail tissue: 1 to 10 procedures (CMS shows small counts as a range)

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Dirk Michael Elston has 165 publications on record

Dmand AI links 165 papers to Dr. Elston, published from 2018 to 2025. 2023 was the busiest year, with 18. The most frequent topics are Diagnosis, Differential, Skin Neoplasms and Alopecia. Dr. Elston has published most often in Cutis. Dr. Elston's most frequent co-authors are John Garrett Plante, MD, Catherine Shirer Barker, MD and Tammie C. Ferringer, MD.

Papers165
Years published2018 to 2025

Dr. Elston's papers by year, 2018 to 2025

Topics Dr. Elston writes about most

  • Diagnosis, Differential
  • Skin Neoplasms
  • Alopecia
  • Dermatology
  • Skin
  • Insect Bites and Stings
  • Periodicals as Topic
  • Skin Diseases

Dr. Elston's most frequent co-authors

Recent publications by Dr. Elston

See all 165 publications and co-authors

See who Dr. Elston researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Elston works with, so you can find a warm path to the right dermatologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Dirk Michael Elston received $537 in industry payments from 2017 to 2024

CMS Open Payments shows 12 general payments to Dr. Elston from 5 drug and device companies from 2017 to 2024. Food and beverage make up the largest share, 97% of the total. Pfizer Inc. paid the most, $334.

General payments to Dr. Elston by program year, 2017 to 2024

General payments to Dr. Elston by kind, 2017 to 2024

$537in total
  • Food and beverage$52097%
  • Education$173%

Companies that paid Dr. Elston the most, 2017 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Elston

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Dirk Michael Elston graduated from Jefferson Medical College of Thomas Jefferson University

Dr. Elston graduated from Jefferson Medical College of Thomas Jefferson University in 1982.

  1. Medical schoolJefferson Medical College of Thomas Jefferson University

Source: Dmand AI Professional Profile Data

Sources for Dr. Dirk Michael Elston's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Dirk Michael Elston

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Dirk Michael Elston's NPI number?

Dr. Dirk Michael Elston's NPI number is 1669449161. It was assigned on March 2, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Dirk Michael Elston?

Dr. Dirk Michael Elston is a dermatologist in Mount Pleasant, South Carolina. The primary specialty in the NPI Registry is Dermatology Physician (taxonomy code 207N00000X).

Where does Dr. Dirk Michael Elston practice?

Dr. Elston practices at 1208 2 Island Ct, Mount Pleasant, SC 29466. Dr. Elston's primary practice is MUSC Physicians in Mount Pleasant, South Carolina. Dmand AI also links Dr. Elston to 2 hospitals, 3 group practices and clinics and 3 medical groups.

What is Dr. Dirk Michael Elston's office phone number?

The practice phone on file for Dr. Elston is (803) 286-4666.

What is Dr. Dirk Michael Elston's medical license number?

Dr. Elston holds South Carolina license 35527, one of the licenses on file in 3 states.

Which states has Dr. Dirk Michael Elston been licensed in?

Dmand AI has state licenses on file for Dr. Elston in South Carolina, New York and Pennsylvania.

Which hospitals is Dr. Dirk Michael Elston affiliated with?

Dr. Elston is affiliated with MUSC Health University Medical Center. Dmand AI links Dr. Elston to 2 more hospitals.

What medical group is Dr. Dirk Michael Elston part of?

Dr. Elston is linked to MUSC Health. Dmand AI links Dr. Elston to 3 more medical groups.

Does Dr. Dirk Michael Elston accept Medicare?

Yes. CMS data shows Dr. Elston billed Medicare for 5,320 services in 2024, and Dr. Elston accepts Medicare assignment.

Does Dr. Dirk Michael Elston offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Elston as offering telehealth services.

Show 9 more questionsShow fewer questions

What is Dr. Dirk Michael Elston's MIPS score?

Dr. Elston's MIPS final score for performance year 2024 is 79 out of 100, reported as part of a group.

How many Medicare patients does Dr. Dirk Michael Elston see?

CMS counts 1,632 Medicare patients who saw Dr. Elston in 2024, with an average age of 75.

What services does Dr. Dirk Michael Elston bill to Medicare?

In 2024, Dr. Elston's most billed Medicare services were office visit, established patient (99214), lab and pathology test (88305) and surgery: skin and soft tissue (17003).

Where did Dr. Dirk Michael Elston go to medical school?

Dr. Elston graduated from Jefferson Medical College of Thomas Jefferson University in 1982.

What drugs does Dr. Dirk Michael Elston prescribe most?

In 2024 Medicare Part D data, Dr. Elston's most prescribed drugs by claims were Dupixent Pen, Minoxidil and Mometasone Furoate.

Has Dr. Dirk Michael Elston received payments from drug or device companies?

CMS Open Payments shows $537 in general payments to Dr. Elston from 5 companies from 2017 to 2024. The largest total came from Pfizer Inc.

How long has Dr. Dirk Michael Elston been practicing?

Dr. Elston graduated from medical school in 1982, 44 years ago.

Does Dr. Dirk Michael Elston do research?

Dmand AI links 165 publications to Dr. Elston, published from 2018 to 2025.

Who does Dr. Dirk Michael Elston publish with?

Dr. Elston's most frequent co-authors are John Garrett Plante, MD (9 shared papers), Catherine Shirer Barker, MD (7 shared papers) and Tammie C. Ferringer, MD (5 shared papers).

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