2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1023559275 MD
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ELENA HART, MD

Physical Medicine & Rehabilitation Physician in DURHAM, North Carolina. 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
258
Medicare Part D claims · 41 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.9086/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$32.59
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ELENA HART, MD reported a CMS MIPS final score of 96.9086/100 — above the 83.1 national average — and filed 258 Medicare Part D claims in 2023.

96.9086/100
MIPS score · +14 vs avg
258
Part D claims, 2023
83%
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 HART, MD's MIPS score vs every scored U.S. clinician

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

97 Top 17% higher than 83% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 HART, MD 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 HART, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/20/2017

NPI 1023559275

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

258 67% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

96.9086/100 13.808600000000013% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Physical Medicine & Rehabilitation Physician compares to other specialties among North Carolina providers

North Carolina providers

Physical Medicine & Rehabilitation Physician share within North Carolina

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within North Carolina

Medicare quality performance — MIPS

ELENA HART, MD's 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

High performer (top quartile)
MIPS Final Score
96.9086/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 96.9086/100 vs national avg 83.1

0%100%National avg83%96.9%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 96.9086/100 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 HART, MD appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding MD credentials at 3643 N ROXBORO ST, DURHAM, NC, 27704, with a listed phone of (919) 470-4000. NPI 1023559275 was issued on 03/20/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HART 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 258 prescription claims written by this provider, covering 41 Medicare beneficiaries and totaling roughly $30K in drug spend, split 17% brand-name and 83% 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 96.9086/100 for the 2023 performance year (Quality 77.779), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

3643 N ROXBORO ST
DURHAM, NC 27704

Provider Details

NPI 1023559275
Specialty Physical Medicine & Rehabilitation Physician
Credentials MD
Gender Female
NPI Issued 03/20/2017

CMS Quality Score (MIPS)

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

96.9086
Final Score
Avg: 83.1
77.779
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 HART, MD. Source: openpaymentsdata.cms.gov.

Total received

$33

Largest payer

AIMMUNE THERAPEUTICS, INC.

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 · Typical

ELENA HART, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 258 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.

258
Total Claims
$30K
Total Drug Cost
41
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
371
Total Day Supply
10,949
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$27K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
1.77
Gender Split
46% female / 54% 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 HART, MD 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
Atorvastatin Calcium
20
Gabapentin
19
Methocarbamol
14
Mirtazapine
14
Amlodipine Besylate
12
Eliquis
Apixaban
11

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

Physical Medicine & Rehabilitation Physician Overview

How ELENA HART, MD fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

ELENA HART, MD's 258 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as HART.

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ELENA HART, MD's specialty?
ELENA HART, MD specializes in Physical Medicine & Rehabilitation Physician and practices in DURHAM, North Carolina. Credentials: MD.
How much does ELENA HART, MD prescribe under Medicare Part D?
In 2023, ELENA HART, MD wrote 258 Medicare Part D claims totaling $30K in drug costs for 41 beneficiaries.
What is ELENA HART, MD's Medicare quality score?
ELENA HART, MD has a CMS MIPS Final Score of 96.9086/100 (Quality: 77.779). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ELENA HART, MD located?
ELENA HART, MD is located at 3643 N ROXBORO ST, DURHAM, NC, 27704. Phone: (919) 470-4000.
What is ELENA HART, MD's NPI number?
ELENA HART, MD's National Provider Identifier (NPI) is 1023559275, issued on 03/20/2017.
Does ELENA HART, MD prescribe more brand-name or generic drugs?
ELENA HART, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $27K in brand drug costs.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does ELENA HART, MD prescribe most often?
Based on 2023 Medicare Part D data, ELENA HART, MD's most frequently prescribed drugs include Atorvastatin Calcium, Gabapentin, Methocarbamol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELENA HART, MD accept Medicare?
ELENA HART, MD appears in CMS Medicare data with 258 Part D claims and 41 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELENA HART, MD's credentials?
ELENA HART, MD's NPI is 1023559275 with credentials MD. 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