2026 NPPES data Specialist NPI 1700949112 M.D.
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Elissa Gropen, M.D.

Specialist in Riverside, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,658 in Specialist, 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
711
Medicare Part D claims · 251 beneficiaries · Specialist avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · Penalty band
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Elissa Gropen, M.D. reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 711 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
711
Part D claims, 2023
93%
generic prescribing

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.

Elissa Gropen, 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

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where Elissa Gropen, M.D. sits

This provider among specialist peers

Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Elissa Gropen, M.D. writes more Part D claims than 45% of them and scores higher on MIPS quality than 0% - placing this provider in the lower-volume, lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 62Elissa Gropen, M.D.-Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 0
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Elissa Gropen, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Elissa Gropen, M.D.?

Below national average

NPI registry status

Active

Issued 12/18/2006

NPI 1700949112

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

711 52% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

0/100 83.1 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Specialist compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Specialist - 0.7%Specialist0.7%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Elissa Gropen, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) - 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Specialist) - 0/100 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).

Elissa Gropen, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 4954 ARLINGTON AVE, Riverside, CA, 92504, with a listed phone of (951) 684-8397. NPI 1700949112 was issued on 12/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Gropen 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 711 prescription claims written by this provider, covering 251 Medicare beneficiaries and totaling roughly $172K in drug spend, split 7% brand-name and 93% 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

4954 ARLINGTON AVE
Riverside, CA 92504

Provider Details

NPI 1700949112
Specialty Specialist
Credentials M.D.
Gender Female
NPI Issued 12/18/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Elissa Gropen, M.D.. To verify Elissa Gropen, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Elissa Gropen, M.D. - brand share 7.0%
Specialist average

7% brand-name claims vs 93% generic, on 711 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.

711
Total Claims
$172K
Total Drug Cost
251
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
764
Total Day Supply
19,689
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$142K
Generic Drug Cost
$29K
Antibiotic Claims
70

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
1.15
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

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

What Elissa Gropen, M.D. 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
Triamcinolone Acetonide
100
Ketoconazole
49
Clindamycin Phosphate
48
Fluorouracil
45
Hydrocortisone
40
Doxycycline Monohydrate
39
Fluocinonide
34
Mometasone Furoate
33
Clobetasol Propionate
30
Valacyclovir
Valacyclovir Hcl
28

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

Specialist Overview

How Elissa Gropen, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

Elissa Gropen, M.D.'s 711 claims are below the specialty average of 1,474.

Nearby Specialist Providers in California

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

Compare Specialist 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 California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Specialist 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.

Frequently Asked Questions

What is Elissa Gropen, M.D.'s specialty?
Elissa Gropen, M.D. specializes in Specialist and practices in Riverside, California. Credentials: M.D..
How much does Elissa Gropen, M.D. prescribe under Medicare Part D?
In 2023, Elissa Gropen, M.D. wrote 711 Medicare Part D claims totaling $172K in drug costs for 251 beneficiaries.
What is Elissa Gropen, M.D.'s Medicare quality score?
Elissa Gropen, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Elissa Gropen, M.D. located?
Elissa Gropen, M.D. is located at 4954 ARLINGTON AVE, Riverside, CA, 92504. Phone: (951) 684-8397.
What is Elissa Gropen, M.D.'s NPI number?
Elissa Gropen, M.D.'s National Provider Identifier (NPI) is 1700949112, issued on 12/18/2006.
Does Elissa Gropen, M.D. prescribe more brand-name or generic drugs?
Elissa Gropen, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $142K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Elissa Gropen, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Elissa Gropen, M.D.'s most frequently prescribed drugs include Triamcinolone Acetonide, Ketoconazole, Clindamycin Phosphate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Elissa Gropen, M.D. accept Medicare?
Elissa Gropen, M.D. appears in CMS Medicare data with 711 Part D claims and 251 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Elissa Gropen, M.D.'s credentials?
Elissa Gropen, M.D.'s NPI is 1700949112 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

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.