ELENA GKROUZMAN, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 119 BELMONT ST, WORCESTER, MA, 01605, with a listed phone of (508) 334-5224. NPI 1598100299 was issued on 05/08/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GKROUZMAN 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 852 prescription claims written by this provider, covering 179 Medicare beneficiaries and totaling roughly $606K in drug spend, with an opioid prescribing rate of 3.9%. 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 97.0218/100 for the 2023 performance year (Quality 78.0983), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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.