2026 NPPES data Ophthalmology Physician NPI 1245678978 M.D.
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ELAINE MCELHINNY, M.D.

Ophthalmology Physician in ANCHORAGE, Alaska. 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
250
Medicare Part D claims · 83 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
22%
generic claims · 78% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.0035/100
▲ 5 pts above national avg 83.1 · [object Object]
What the federal data reveals: ELAINE MCELHINNY, M.D. is a Ophthalmology Physician ([object Object]) practicing in ANCHORAGE, Alaska with a Medicare Part D prescribing footprint of 250 claims across 83 beneficiaries — 78% brand-name prescribing . Their CMS MIPS Final Score of 88.0035/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What the federal data shows

ELAINE MCELHINNY, M.D. reported a CMS MIPS final score of 88.0035/100 — above the 83.1 national average — and filed 250 Medicare Part D claims in 2023.

88.0035/100
MIPS score · +5 vs avg
250
Part D claims, 2023
22%
generic prescribing
Likely
board-certified (heuristic)

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 MCELHINNY, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

88 Top 44% higher than 56% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ELAINE MCELHINNY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ELAINE MCELHINNY, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/04/2013

NPI 1245678978

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

250 82% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

88.0035/100 4.903500000000008% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Alaska

How Ophthalmology Physician compares to other specialties among Alaska providers

Alaska providers

Ophthalmology Physician share within Alaska

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Alaska

Medicare quality performance — MIPS

ELAINE MCELHINNY, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
88.0035/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 88.0035/100 vs national avg 83.1

0%100%National avg83%88%
MIPS final score (Ophthalmology Physician) — 88.0035/100 vs national avg 83.1

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 MCELHINNY, M.D. is a Ophthalmology Physician provider practicing in ANCHORAGE, Alaska, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1245678978. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ELAINE MCELHINNY, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 3801 UNIVERSITY LAKE DR FL 2, ANCHORAGE, AK, 99508, with a listed phone of (646) 506-3297. NPI 1245678978 was issued on 06/04/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCELHINNY 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 250 prescription claims written by this provider, covering 83 Medicare beneficiaries and totaling roughly $18K in drug spend, split 78% brand-name and 22% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.0035/100 for the 2023 performance year (Quality 100, Cost 93.3451), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

3801 UNIVERSITY LAKE DR FL 2
ANCHORAGE, AK 99508

Provider Details

NPI 1245678978
Specialty Ophthalmology Physician
Credentials M.D.
Gender Female
NPI Issued 06/04/2013

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

88.0035
Final Score
Avg: 83.1
100
Quality
93.3451
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where ELAINE MCELHINNY, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
ANCHORAGE, AK

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Brand-heavy

ELAINE MCELHINNY, M.D. — brand share 78.0%
Specialty average (est.)

78% brand-name claims vs 22% generic, on 250 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.

250
Total Claims
$18K
Total Drug Cost
83
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
301
Total Day Supply
6,821
Brand vs Generic
78% brand / 22% generic
Brand Drug Cost
$16K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.05
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisolone Acetate
76
Moxifloxacin
Moxifloxacin Hcl
50
Latanoprost
48
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
15
Ciprofloxacin Hcl
12
Timolol Maleate
12

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

Ophthalmology Physician Overview

How ELAINE MCELHINNY, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

ELAINE MCELHINNY, M.D.'s 250 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Alaska

Other clinicians with the same primary specialty enrolled in Alaska, drawn from the same CMS NPPES roster as MCELHINNY.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ELAINE MCELHINNY, M.D.'s specialty?
ELAINE MCELHINNY, M.D. specializes in Ophthalmology Physician and practices in ANCHORAGE, Alaska. Credentials: M.D..
How much does ELAINE MCELHINNY, M.D. prescribe under Medicare Part D?
In 2023, ELAINE MCELHINNY, M.D. wrote 250 Medicare Part D claims totaling $18K in drug costs for 83 beneficiaries.
What is ELAINE MCELHINNY, M.D.'s Medicare quality score?
ELAINE MCELHINNY, M.D. has a CMS MIPS Final Score of 88.0035/100 (Quality: 100, Cost: 93.3451). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ELAINE MCELHINNY, M.D. located?
ELAINE MCELHINNY, M.D. is located at 3801 UNIVERSITY LAKE DR FL 2, ANCHORAGE, AK, 99508. Phone: (646) 506-3297.
What is ELAINE MCELHINNY, M.D.'s NPI number?
ELAINE MCELHINNY, M.D.'s National Provider Identifier (NPI) is 1245678978, issued on 06/04/2013.
Does ELAINE MCELHINNY, M.D. prescribe more brand-name or generic drugs?
ELAINE MCELHINNY, M.D.'s prescribing is 78% brand-name and 22% generic drugs by claim count, with $16K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does ELAINE MCELHINNY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ELAINE MCELHINNY, M.D.'s most frequently prescribed drugs include Prednisolone Acetate, Moxifloxacin, Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELAINE MCELHINNY, M.D. accept Medicare?
ELAINE MCELHINNY, M.D. appears in CMS Medicare data with 250 Part D claims and 83 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELAINE MCELHINNY, M.D.'s credentials?
ELAINE MCELHINNY, M.D.'s NPI is 1245678978 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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