2026 NPPES data Neurological Surgery Physician NPI 1336584259 MD, PHD
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ELENA FOMCHENKO, MD, PHD

Neurological Surgery Physician in ERIE, Pennsylvania. 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
125
Medicare Part D claims · 43 beneficiaries · Neurological Surgery Physician avg: 181
MIPS score
81.3897/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$20
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ELENA FOMCHENKO, MD, PHD reported a CMS MIPS final score of 81.3897/100 — below the 83.1 national average — and filed 125 Medicare Part D claims in 2023.

81.3897/100
MIPS score · -2 vs avg
125
Part D claims, 2023
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 FOMCHENKO, MD, PHD's MIPS score vs every scored U.S. clinician

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

81 36th percentile higher than 36% 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)

ELENA FOMCHENKO, MD, PHD 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 ELENA FOMCHENKO, MD, PHD?

Near national average

NPI registry status

Active

Issued 05/06/2013

NPI 1336584259

Primary specialty

Neurological Surgery Physician

Mid-sized

8,100 US NPIs in this specialty

Medicare Part D claims

125 31% vs specialty avg

2023 prescription claims

Specialty avg: 181

MIPS final score

81.3897/100 1.7102999999999895% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Neurological Surgery Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Neurological Surgery Physician share within Pennsylvania

1. Neurological Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurological Surgery Physician share within Pennsylvania

Medicare quality performance — MIPS

ELENA FOMCHENKO, MD, PHD's 2023 MIPS final score plotted against the Neurological Surgery Physician national average

Near national average
MIPS Final Score
81.3897/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurological Surgery Physician) — 81.3897/100 vs national avg 83.1

0%100%National avg83%81.4%
MIPS final score (Neurological Surgery Physician) — 81.3897/100 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).

ELENA FOMCHENKO, MD, PHD appears in the CMS NPPES registry as a Neurological Surgery Physician provider holding MD, PHD credentials at 2315 MYRTLE ST STE L90, ERIE, PA, 16502, with a listed phone of (814) 452-7575. NPI 1336584259 was issued on 05/06/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FOMCHENKO 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 125 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 12.0%. 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 81.3897/100 for the 2023 performance year (Quality 81.2519, Cost 49.9786), compared with the national average of 83.1.

Neurological Surgery Physician is a mid-sized specialty nationwide, with 8,100 enrolled providers across 53 states and an average of 181 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

2315 MYRTLE ST STE L90
ERIE, PA 16502

Provider Details

NPI 1336584259
Specialty Neurological Surgery Physician
Credentials MD, PHD
Gender Female
NPI Issued 05/06/2013

CMS Quality Score (MIPS)

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

81.3897
Final Score
Avg: 83.1
81.2519
Quality
49.9786
Cost
100
Promoting Interoperability

Reporting: Group practice

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 FOMCHENKO, MD, PHD. Source: openpaymentsdata.cms.gov.

Total received

$20

Largest payer

CSL Behring

Most common payment type

Education

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to ELENA FOMCHENKO, MD, PHD. To verify ELENA FOMCHENKO, MD, PHD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

125
Total Claims
$1K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
139
Total Day Supply
2,315
Generic Drug Cost
$1K
Opioid Claims
15 (12.0% rate)

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
1.41
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

What ELENA FOMCHENKO, MD, PHD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Methylprednisolone
21
Methocarbamol
19
Levetiracetam
14
Oxycodone Hcl
14
Famotidine
12

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

Neurological Surgery Physician Overview

How ELENA FOMCHENKO, MD, PHD fits within the Neurological Surgery Physician landscape nationally.

8,100
Neurological Surgery Physician Providers in US
53
States with Neurological Surgery Physician
181
Avg Claims per Provider

ELENA FOMCHENKO, MD, PHD's 125 claims are below the specialty average of 181.

Nearby Neurological Surgery Physician Providers in Pennsylvania

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

Compare Neurological Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ELENA FOMCHENKO, MD, PHD's specialty?
ELENA FOMCHENKO, MD, PHD specializes in Neurological Surgery Physician and practices in ERIE, Pennsylvania. Credentials: MD, PHD.
How much does ELENA FOMCHENKO, MD, PHD prescribe under Medicare Part D?
In 2023, ELENA FOMCHENKO, MD, PHD wrote 125 Medicare Part D claims totaling $1K in drug costs for 43 beneficiaries.
What is ELENA FOMCHENKO, MD, PHD's Medicare quality score?
ELENA FOMCHENKO, MD, PHD has a CMS MIPS Final Score of 81.3897/100 (Quality: 81.2519, Cost: 49.9786). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ELENA FOMCHENKO, MD, PHD located?
ELENA FOMCHENKO, MD, PHD is located at 2315 MYRTLE ST STE L90, ERIE, PA, 16502. Phone: (814) 452-7575.
What is ELENA FOMCHENKO, MD, PHD's NPI number?
ELENA FOMCHENKO, MD, PHD's National Provider Identifier (NPI) is 1336584259, issued on 05/06/2013.
Does ELENA FOMCHENKO, MD, PHD prescribe opioids?
Yes, ELENA FOMCHENKO, MD, PHD had 15 opioid claims in 2023 with an opioid prescribing rate of 12.0%.
How many Neurological Surgery Physician providers are there in the US?
There are 8,100 Neurological Surgery Physician providers across 53 states in the US. The average Neurological Surgery Physician provider writes 181 Medicare Part D claims per year.
What drugs does ELENA FOMCHENKO, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, ELENA FOMCHENKO, MD, PHD's most frequently prescribed drugs include Methylprednisolone, Methocarbamol, Levetiracetam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELENA FOMCHENKO, MD, PHD accept Medicare?
ELENA FOMCHENKO, MD, PHD appears in CMS Medicare data with 125 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELENA FOMCHENKO, MD, PHD's credentials?
ELENA FOMCHENKO, MD, PHD's NPI is 1336584259 with credentials MD, PHD. 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