NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1790103604 M.D.
Verify on CMS → Elena Burke, M.D.
Pulmonary Disease Physician in Livingston, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease 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
659
Medicare Part D claims · 166 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
26%
generic claims · 74% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.7/100
▲ 11 pts above national avg 83.1 · Exceptional
Industry payments
$868.68
29 payments · CMS Open Payments (Sunshine Act)
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
Elena Burke, M.D. reported a CMS MIPS final score of 93.7/100 - above the 83.1 national average - and filed 659 Medicare Part D claims in 2023.
- 93.7/100
- MIPS score · +11 vs avg
- 659
- Part D claims, 2023
- 26%
- 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.
Elena Burke, 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
94 Top 29% higher than 71% 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 Elena Burke, M.D. sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Elena Burke, M.D. writes more Part D claims than 36% of them and scores higher on MIPS quality than 74% - placing this provider in the lower-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 pulmonary disease physician peer from a representative sample of 60; the gold marker is Elena Burke, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Elena Burke, 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).
What does the federal data show about Elena Burke, M.D.?
High performer (top quartile)Primary specialty
Pulmonary Disease Physician
Medicare Part D claims
659 55% vs specialty avg
MIPS final score
93.7/100 10.6 pts vs avg
Specialty distribution in New Jersey
How Pulmonary Disease Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Elena Burke, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 93.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 93.7/100 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).
Elena Burke, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 94 OLD SHORT HILLS RD, Livingston, NJ, 07039, with a listed phone of (973) 322-5000. NPI 1790103604 was issued on 03/29/2014.
Medicare Part D records for calendar year 2023 show 659 prescription claims written by this provider, covering 166 Medicare beneficiaries and totaling roughly $350K in drug spend, split 74% brand-name and 26% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.7/100 for the 2023 performance year (Quality 77.8), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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 | 1790103604 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 03/29/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
93.7128
Final Score
Avg: 83.1
77.7931
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Elena Burke, 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.
Barnabas Health Medical Group PC
Belleville, NJ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Elena Burke, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$869
Largest payer
AstraZeneca Pharmaceuticals LP
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.
Brand vs generic prescribing mix · Brand-heavy
Elena Burke, M.D. - brand share 74.0%
Pulmonary Disease Physician average
74% brand-name claims vs 26% generic, on 659 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.
659
Total Claims
$350K
Total Drug Cost
166
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 842
- Total Day Supply
- 22,816
- Brand vs Generic
- 74% brand / 26% generic
- Brand Drug Cost
- $344K
- Generic Drug Cost
- $6K
- Antibiotic Claims
- 24
Patient Demographics
- Average Patient Age
- 74.8 years
- Avg HCC Risk Score
- 1.81
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 17, 65-74: 59, 75-84: 60, 85+: 30
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Elena Burke, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
114 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
100 claims
- Breo Ellipta
Breo Ellipta
92 claims
- Prednisone 38
Prednisone
38 claims
- Montelukast Sodium 33
Montelukast Sodium
33 claims
- Anoro Ellipta 32
Anoro Ellipta
32 claims
- Breztri Aerosphere 20
Breztri Aerosphere
20 claims
- Arnuity Ellipta 19
Arnuity Ellipta
19 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 114 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 100 |
| Breo Ellipta Fluticasone/Vilanterol | 92 |
| Prednisone | 38 |
| Montelukast Sodium | 33 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 32 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 20 |
| Arnuity Ellipta Fluticasone Furoate | 19 |
| Symbicort Budesonide/Formoterol Fumarate | 18 |
| Ventolin Hfa Albuterol Sulfate | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Elena Burke, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Elena Burke, M.D.'s 659 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Burke.
Dr. Vincent Acampora
DO
Cherry Hill, NJ
Dr. Pankaja Achar
MD
Newark, NJ
Dr. William Adams
D.O.
Atlantic City, NJ
Dr. Abhishek Agarwal
MD
Marlton, NJ
Dr. Vinod Aggarwal
MD FCCP
Holmdel, NJ
Compare Pulmonary Disease 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 New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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 Elena Burke, M.D.'s specialty? ▼
Elena Burke, M.D. specializes in Pulmonary Disease Physician and practices in Livingston, New Jersey. Credentials: M.D..
How much does Elena Burke, M.D. prescribe under Medicare Part D? ▼
In 2023, Elena Burke, M.D. wrote 659 Medicare Part D claims totaling $350K in drug costs for 166 beneficiaries.
What is Elena Burke, M.D.'s Medicare quality score? ▼
Elena Burke, M.D. has a CMS MIPS Final Score of 93.7/100 (Quality: 77.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Elena Burke, M.D. located? ▼
Elena Burke, M.D. is located at 94 OLD SHORT HILLS RD, Livingston, NJ, 07039. Phone: (973) 322-5000.
What is Elena Burke, M.D.'s NPI number? ▼
Elena Burke, M.D.'s National Provider Identifier (NPI) is 1790103604, issued on 03/29/2014.
Does Elena Burke, M.D. prescribe more brand-name or generic drugs? ▼
Elena Burke, M.D.'s prescribing is 74% brand-name and 26% generic drugs by claim count, with $344K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Elena Burke, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Elena Burke, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Breo Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Elena Burke, M.D. accept Medicare? ▼
Elena Burke, M.D. appears in CMS Medicare data with 659 Part D claims and 166 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Elena Burke, M.D.'s credentials? ▼
Elena Burke, M.D.'s NPI is 1790103604 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.