2026 NPPES data Pediatric Adolescent Medicine Physician NPI 1245315456 M.D.
Verify on CMS →

ELAINE ARCENAS, M.D.

Pediatric Adolescent Medicine Physician in BAY SHORE, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
45
Medicare Part D claims · Pediatric Adolescent Medicine Physician avg: 249
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$87.87
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ELAINE ARCENAS, M.D. filed 45 Medicare Part D claims in 2023 as a Pediatric Adolescent Medicine Physician in BAY SHORE, New York, prescribing 76% generic.

45
Part D claims, 2023
76%
generic prescribing
$87.87
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ELAINE ARCENAS, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

45 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

ELAINE ARCENAS, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ELAINE ARCENAS, M.D.?

Quality data not reported

NPI registry status

Active

Issued 10/26/2006

NPI 1245315456

Primary specialty

Pediatric Adolescent Medicine Physician

Niche

2,592 US NPIs in this specialty

Medicare Part D claims

45 82% vs specialty avg

2023 prescription claims

Specialty avg: 249

Specialty distribution in New York

How Pediatric Adolescent Medicine Physician compares to other specialties among New York providers

New York providers

Pediatric Adolescent Medicine Physician share within New York

1. Pediatric Adolescent Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Adolescent Medicine Physician share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Adolescent Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Adolescent Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Adolescent Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Adolescent Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ELAINE ARCENAS, M.D. appears in the CMS NPPES registry as a Pediatric Adolescent Medicine Physician provider holding M.D. credentials at 42 BRENTWOOD RD, BAY SHORE, NY, 11706, with a listed phone of (631) 665-6551. NPI 1245315456 was issued on 10/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARCENAS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 45 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $7K in drug spend, split 24% brand-name and 76% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Adolescent Medicine Physician is a narrow specialty nationwide, with 2,592 enrolled providers across 52 states and an average of 249 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

42 BRENTWOOD RD
BAY SHORE, NY 11706

Provider Details

NPI 1245315456
Specialty Pediatric Adolescent Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 10/26/2006

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ELAINE ARCENAS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$88

Largest payer

Merck Sharp & Dohme LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to ELAINE ARCENAS, M.D.. To verify ELAINE ARCENAS, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ELAINE ARCENAS, M.D. — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 45 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

45
Total Claims
$7K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
53
Total Day Supply
1,500
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$2K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
53.7 years
Avg HCC Risk Score
0.81

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Balsalazide Disodium
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Adolescent Medicine Physician Overview

How ELAINE ARCENAS, M.D. fits within the Pediatric Adolescent Medicine Physician landscape nationally.

2,592
Pediatric Adolescent Medicine Physician Providers in US
52
States with Pediatric Adolescent Medicine Physician
249
Avg Claims per Provider

ELAINE ARCENAS, M.D.'s 45 claims are below the specialty average of 249.

Nearby Pediatric Adolescent Medicine Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as ARCENAS.

Compare Pediatric Adolescent Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ELAINE ARCENAS, M.D.'s specialty?
ELAINE ARCENAS, M.D. specializes in Pediatric Adolescent Medicine Physician and practices in BAY SHORE, New York. Credentials: M.D..
How much does ELAINE ARCENAS, M.D. prescribe under Medicare Part D?
In 2023, ELAINE ARCENAS, M.D. wrote 45 Medicare Part D claims totaling $7K in drug costs for N/A beneficiaries.
Where is ELAINE ARCENAS, M.D. located?
ELAINE ARCENAS, M.D. is located at 42 BRENTWOOD RD, BAY SHORE, NY, 11706. Phone: (631) 665-6551.
What is ELAINE ARCENAS, M.D.'s NPI number?
ELAINE ARCENAS, M.D.'s National Provider Identifier (NPI) is 1245315456, issued on 10/26/2006.
Does ELAINE ARCENAS, M.D. prescribe more brand-name or generic drugs?
ELAINE ARCENAS, M.D.'s prescribing is 24% brand-name and 76% generic drugs by claim count, with $2K in brand drug costs.
How many Pediatric Adolescent Medicine Physician providers are there in the US?
There are 2,592 Pediatric Adolescent Medicine Physician providers across 52 states in the US. The average Pediatric Adolescent Medicine Physician provider writes 249 Medicare Part D claims per year.
What drugs does ELAINE ARCENAS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ELAINE ARCENAS, M.D.'s most frequently prescribed drugs include Balsalazide Disodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELAINE ARCENAS, M.D. accept Medicare?
ELAINE ARCENAS, M.D. appears in CMS Medicare data with 45 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELAINE ARCENAS, M.D.'s credentials?
ELAINE ARCENAS, M.D.'s NPI is 1245315456 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology