2026 NPPES data Surgery Physician NPI 1255363347 MD
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ELIZABETH DEFLUITER, MD

Surgery Physician in ELIZABETHTON, Tennessee. 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
171
Medicare Part D claims · 106 beneficiaries · Surgery Physician avg: 169
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$14.56
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ELIZABETH DEFLUITER, MD is a Surgery Physician ([object Object]) practicing in ELIZABETHTON, Tennessee with a Medicare Part D prescribing footprint of 171 claims across 106 beneficiaries — 15% brand-name prescribing . Industry payments of $14.56 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ELIZABETH DEFLUITER, MD filed 171 Medicare Part D claims in 2023 across ELIZABETHTON, Tennessee. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ELIZABETH DEFLUITER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ELIZABETH DEFLUITER, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/07/2006

NPI 1255363347

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

171 1% vs specialty avg

2023 prescription claims

Specialty avg: 169

Specialty distribution in Tennessee

How Surgery Physician compares to other specialties among Tennessee providers

Tennessee providers

Surgery Physician share within Tennessee

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

Specialty board-certification context

Estimated specialty board-certified rate — Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

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).

ELIZABETH DEFLUITER, MD is a Surgery Physician provider practicing in ELIZABETHTON, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1255363347. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ELIZABETH DEFLUITER, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 1497 W ELK AVE, ELIZABETHTON, TN, 37643, with a listed phone of (423) 542-7440. NPI 1255363347 was issued on 07/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DEFLUITER 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 171 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $6K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 21.1%. 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.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

1497 W ELK AVE
ELIZABETHTON, TN 37643

Provider Details

NPI 1255363347
Specialty Surgery Physician
Credentials MD
Gender Female
NPI Issued 07/07/2006

Hospital and facility affiliations

Facilities where ELIZABETH DEFLUITER, MD 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.

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
ELIZABETHTON, TN

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 ELIZABETH DEFLUITER, MD. Source: openpaymentsdata.cms.gov.

Total received

$15

Largest payer

W. L. Gore & Associates, 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

ELIZABETH DEFLUITER, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 171 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.

171
Total Claims
$6K
Total Drug Cost
106
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
179
Total Day Supply
1,216
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$2K
Generic Drug Cost
$4K
Opioid Claims
36 (21.1% rate)
Antibiotic Claims
15

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.29
Gender Split
68% female / 32% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ibuprofen
43
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
26
Sod Sulf-Potass Sulf-Mag Sulf
"Sodium
N/A

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

Surgery Physician Overview

How ELIZABETH DEFLUITER, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

ELIZABETH DEFLUITER, MD's 171 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is ELIZABETH DEFLUITER, MD's specialty?
ELIZABETH DEFLUITER, MD specializes in Surgery Physician and practices in ELIZABETHTON, Tennessee. Credentials: MD.
How much does ELIZABETH DEFLUITER, MD prescribe under Medicare Part D?
In 2023, ELIZABETH DEFLUITER, MD wrote 171 Medicare Part D claims totaling $6K in drug costs for 106 beneficiaries.
Where is ELIZABETH DEFLUITER, MD located?
ELIZABETH DEFLUITER, MD is located at 1497 W ELK AVE, ELIZABETHTON, TN, 37643. Phone: (423) 542-7440.
What is ELIZABETH DEFLUITER, MD's NPI number?
ELIZABETH DEFLUITER, MD's National Provider Identifier (NPI) is 1255363347, issued on 07/07/2006.
Does ELIZABETH DEFLUITER, MD prescribe more brand-name or generic drugs?
ELIZABETH DEFLUITER, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $2K in brand drug costs.
Does ELIZABETH DEFLUITER, MD prescribe opioids?
Yes, ELIZABETH DEFLUITER, MD had 36 opioid claims in 2023 with an opioid prescribing rate of 21.1%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does ELIZABETH DEFLUITER, MD prescribe most often?
Based on 2023 Medicare Part D data, ELIZABETH DEFLUITER, MD's most frequently prescribed drugs include Ibuprofen, Hydrocodone-Acetaminophen, Sod Sulf-Potass Sulf-Mag Sulf. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELIZABETH DEFLUITER, MD accept Medicare?
ELIZABETH DEFLUITER, MD appears in CMS Medicare data with 171 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELIZABETH DEFLUITER, MD's credentials?
ELIZABETH DEFLUITER, MD's NPI is 1255363347 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.
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