NPI registry status
Active
2026 NPPES data Geriatric Medicine (Family Medicine) Physician NPI 1801896881 M.D.
Verify on CMS → Elbert Hines, M.D.
Geriatric Medicine (Family Medicine) Physician in Memphis, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,779 in Geriatric Medicine (Family Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
50K
Medicare Part D claims · 776 beneficiaries · Geriatric Medicine (Family Medicine) Physician avg: 5K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.7/100
▲ 4 pts above national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Elbert Hines, M.D. reported a CMS MIPS final score of 86.7/100 - above the 83.1 national average - and filed 49,996 Medicare Part D claims in 2023.
- 86.7/100
- MIPS score · +4 vs avg
- 50K
- Part D claims, 2023
- 81%
- 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.
Elbert Hines, 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
87 Top 48% higher than 52% of 477,587 scored providers
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
Where Elbert Hines, M.D. sits
This provider among geriatric medicine (family medicine) physician peers
Across the 298 geriatric medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Elbert Hines, M.D. writes more Part D claims than 100% of them and scores higher on MIPS quality than 58% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one geriatric medicine (family medicine) physician peer from a representative sample of 60; the gold marker is Elbert Hines, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Elbert Hines, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Elbert Hines, M.D.?
High performer (top quartile)Primary specialty
Geriatric Medicine (Family Medicine) Physician
Medicare Part D claims
49,996 10× vs specialty avg
MIPS final score
86.7/100 3.6 pts vs avg
Specialty distribution in Tennessee
How Geriatric Medicine (Family Medicine) Physician compares to other specialties among Tennessee providers
Medicare quality performance, MIPS
Elbert Hines, M.D.'s 2023 MIPS final score plotted against the Geriatric Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 86.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Geriatric Medicine (Family Medicine) Physician) - 86.7/100 vs national avg 83.1
How MIPS and board certification work
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).
Elbert Hines, M.D. appears in the CMS NPPES registry as a Geriatric Medicine (Family Medicine) Physician provider holding M.D. credentials at 6263 POPLAR AVE, Memphis, TN, 38119, with a listed phone of (901) 761-6157. NPI 1801896881 was issued on 07/29/2005.
Medicare Part D records for calendar year 2023 show 49,996 prescription claims written by this provider, covering 776 Medicare beneficiaries and totaling roughly $2.6 million in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 1.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.7/100 for the 2023 performance year (Quality 100, Cost 27.2), compared with the national average of 83.1.
Geriatric Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 1,779 enrolled providers across 52 states and an average of 4,854 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
Provider Details
| NPI | 1801896881 |
|---|---|
| Specialty | Geriatric Medicine (Family Medicine) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/29/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
86.6971
Final Score
Avg: 83.1
100
Quality
27.2403
Cost
Reporting: Individual
Brand vs generic prescribing mix · Typical
Elbert Hines, M.D. - brand share 19.0%
Geriatric Medicine (Family Medicine) Physician average
19% brand-name claims vs 81% generic, on 49,996 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.
49,996
Total Claims
$2.6M
Total Drug Cost
776
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 50,346
- Total Day Supply
- 791,760
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $1.7M
- Generic Drug Cost
- $863K
- Opioid Claims
- 930 (1.9% rate)
- Antibiotic Claims
- 925
Patient Demographics
- Average Patient Age
- 82.0 years
- Avg HCC Risk Score
- 2.39
- Gender Split
- 70% female / 30% male
- Age Distribution
- <65: 43, 65-74: 133, 75-84: 259, 85+: 341
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Elbert Hines, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
2,824 claims
- Furosemide
Furosemide
2,157 claims
- Atorvastatin Calcium
Atorvastatin Calcium
2,100 claims
- Eliquis
Eliquis
2,040 claims
- Amlodipine Besylate
Amlodipine Besylate
1,878 claims
- Pantoprazole Sodium
Pantoprazole Sodium
1,410 claims
- Donepezil Hcl
Donepezil Hcl
1,243 claims
- Mirtazapine
Mirtazapine
1,197 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 2,824 |
| Furosemide | 2,157 |
| Atorvastatin Calcium | 2,100 |
| Eliquis Apixaban | 2,040 |
| Amlodipine Besylate | 1,878 |
| Pantoprazole Sodium | 1,410 |
| Donepezil Hcl | 1,243 |
| Mirtazapine | 1,197 |
| Potassium Chloride | 1,173 |
| Memantine Hcl | 1,066 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Geriatric Medicine (Family Medicine) Physician in TN →
All providers in Tennessee →
Compare specialties →
Geriatric Medicine (Family Medicine) Physician Overview
How Elbert Hines, M.D. fits within the Geriatric Medicine (Family Medicine) Physician landscape nationally.
1,779
Geriatric Medicine (Family Medicine) Physician Providers in US
52
States with Geriatric Medicine (Family Medicine) Physician
4,854
Avg Claims per Provider
Elbert Hines, M.D.'s 49,996 claims are above the specialty average of 4,854.
Nearby Geriatric Medicine (Family Medicine) Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Hines.
Dr. Arvind Ankireddypalli
M.D.
Memphis, TN
Dr. Larry Barnes
MD
Fayetteville, TN
Dr. Kimberly Beiting
MD
Nashville, TN
Dr. Hina Budhwani
M.D, MPH
Nashville, TN
Dr. Raul Couret
M.D
Hendersonville, TN
Compare Geriatric Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Tennessee medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Geriatric Medicine (Family Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Elbert Hines, M.D.'s specialty? ▼
Elbert Hines, M.D. specializes in Geriatric Medicine (Family Medicine) Physician and practices in Memphis, Tennessee. Credentials: M.D..
How much does Elbert Hines, M.D. prescribe under Medicare Part D? ▼
In 2023, Elbert Hines, M.D. wrote 49,996 Medicare Part D claims totaling $2.6M in drug costs for 776 beneficiaries.
What is Elbert Hines, M.D.'s Medicare quality score? ▼
Elbert Hines, M.D. has a CMS MIPS Final Score of 86.7/100 (Quality: 100, Cost: 27.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Elbert Hines, M.D. located? ▼
Elbert Hines, M.D. is located at 6263 POPLAR AVE, Memphis, TN, 38119. Phone: (901) 761-6157.
What is Elbert Hines, M.D.'s NPI number? ▼
Elbert Hines, M.D.'s National Provider Identifier (NPI) is 1801896881, issued on 07/29/2005.
Does Elbert Hines, M.D. prescribe more brand-name or generic drugs? ▼
Elbert Hines, M.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $1.7M in brand drug costs.
Does Elbert Hines, M.D. prescribe opioids? ▼
Yes, Elbert Hines, M.D. had 930 opioid claims in 2023 with an opioid prescribing rate of 1.9%.
How many Geriatric Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 1,779 Geriatric Medicine (Family Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Family Medicine) Physician provider writes 4,854 Medicare Part D claims per year.
What drugs does Elbert Hines, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Elbert Hines, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Furosemide, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Elbert Hines, M.D. accept Medicare? ▼
Elbert Hines, M.D. appears in CMS Medicare data with 49,996 Part D claims and 776 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Elbert Hines, M.D.'s credentials? ▼
Elbert Hines, M.D.'s NPI is 1801896881 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.