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2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1134187859 M.D.
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Ellen Flinchum, M.D.

Physical Medicine & Rehabilitation Physician in Lexington, Kentucky.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 15,618 in Physical Medicine & Rehabilitation Physician, 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
5K
Medicare Part D claims · 388 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 793
Generic prescribing
>99%
generic claims · <1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.4/100
▲ 10 pts above national avg 83.5 · Exceptional
Industry payments
$22.01
1 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Ellen Flinchum, M.D. reported a CMS MIPS final score of 93.4/100 - above the 83.5 national average - and filed 4,540 Medicare Part D claims in 2024.

93.4/100
MIPS score · +10 vs avg
5K
Part D claims, 2024
>99%
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.

Federal trust snapshot

What official records show about Ellen Flinchum, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1134187859), first enumerated 05/02/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 4,540 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 93.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $22.01 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1134187859 · Physical Medicine & Rehabilitation Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ABOVE · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1134187859
  • ENUM-LEGACY 2006
  • TAX-MID 16K Physical Medicine
  • MIPS-ABOVE 93.4/100
  • RX-MID 4,540
  • BOOK-THIN 169 in Kentucky
  • PHOTO-FINISH Michelle Pepper · ±0.1

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Ellen Flinchum, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

93 ≥ 69th percentile 69% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Ellen Flinchum, M.D. sits

This provider among physical medicine & rehabilitation physician peers

Across the 2,483 physical medicine & rehabilitation physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ellen Flinchum, M.D. writes more Part D claims than 97% of them and scores higher on MIPS quality than 73% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.647.370.994.5Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 27Ellen Flinchum, M.D., Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 73
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one physical medicine & rehabilitation physician peer from a representative sample of 60; the gold marker is Ellen Flinchum, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Ellen Flinchum, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Ellen Flinchum, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/02/2006

NPI 1134187859

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,618 US NPIs in this specialty

Medicare Part D claims

4,540 6× vs specialty avg

2024 prescription claims

Specialty avg: 793

MIPS final score

93.4/100 9.9 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Kentucky

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

Kentucky providers
Family Nurse Practitioner5.8%Student in an Organized Heal…5.2%Pharmacist4.8%Mental Health Counselor4.6%Clinical Social Worker4.2%Physical Therapist3.6%Physical Medicine & Rehabili…0.2%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance, MIPS

Ellen Flinchum, M.D.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

High performer (top quartile)
MIPS Final Score
93.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%93.4%
MIPS final score (Physical Medicine & Rehabilitation Physician) - 93.4/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

1207 S BROADWAY
Lexington, KY 40504
(859) 258-6101

Provider Details

NPI 1134187859
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D.
Gender Female
NPI Issued 05/02/2006

CMS Quality Score (MIPS)

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

93.3796
Final Score
Measured-score avg: 83.5
78.5782
Quality
96
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Ellen Flinchum, M.D. 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.

New Lexington Clinic Psc
Lexington, KY

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 Ellen Flinchum, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$22

Largest payer

ABBVIE 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 · Generic-heavy

Ellen Flinchum, M.D. - brand share 1.0%
Physical Medicine & Rehabilitation Physician average

<1% brand-name claims vs >99% generic, on 4,540 2024 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 2024.

4,540
Total Claims
$86K
Total Drug Cost
388
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,560
Total Day Supply
133,375
Brand vs Generic
<1% brand / >99% generic
Brand Drug Cost
$11K
Generic Drug Cost
$75K
Opioid Claims
3,376 (74.4% rate)

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.64
Gender Split
67% female / 33% male
Age Distribution
<65: 105, 65-74: 160, 75-84: 99, 85+: 24

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Ellen Flinchum, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
2,170
Gabapentin
 931
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
489
Oxycodone Hcl
 329
Tramadol Hcl
 239
Pregabalin
 156
Morphine Sulfate Er
Morphine Sulfate
66
Tramadol Hcl-Acetaminophen
Tramadol Hcl/Acetaminophen
32
Tramadol Hcl Er
Tramadol Hcl
21
Duloxetine Hcl
 15

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

More Physical Medicine & Rehabilitation Physician in KY → All providers in Kentucky → Compare specialties →

Physical Medicine & Rehabilitation Physician Overview

How Ellen Flinchum, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,618
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
793
Avg Claims per Provider

Ellen Flinchum, M.D.'s 4,540 claims are above the specialty average of 793.

Nationwide Physical Medicine & Rehabilitation Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Flinchum, both outside Kentucky so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (93.4 here).

Michelle Pepper 93.3 UT Daniel Sim 93.3 WA Joseph Peters 93.3 CT Lawrence Andrew Chan 93.5 NY

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Melissa Merriman-Flory Coon Rapids, MN Paul Appleton Naugatuck, CT Sarala Srinivasa Jacksonville, FL Albert Molnar Austin, TX

Nearby Physical Medicine & Rehabilitation Physician Providers in Kentucky

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

One of 169 Physical Medicine & Rehabilitation Physician providers enrolled in Kentucky, 5 are shown here.

Dr. Joseph Aguirre
DO
Bowling Green, KY
Dr. Scott Akers
M.D.
Prestonsburg, KY
Leah Anderson
OTR/L
Lexington, KY
Rachel Anderson
Lexington, KY
Dr. Nicholas Annichiarico
D.O.
Lexington, KY

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

Frequently Asked Questions

What is Ellen Flinchum, M.D.'s specialty? ▼
Ellen Flinchum, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in Lexington, Kentucky. Credentials: M.D..
How much does Ellen Flinchum, M.D. prescribe under Medicare Part D? ▼
In 2024, Ellen Flinchum, M.D. wrote 4,540 Medicare Part D claims totaling $86K in drug costs for 388 beneficiaries.
What is Ellen Flinchum, M.D.'s Medicare quality score? ▼
Ellen Flinchum, M.D. has a CMS MIPS Final Score of 93.4/100 (Quality: 78.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ellen Flinchum, M.D. located? ▼
Ellen Flinchum, M.D. is located at 1207 S BROADWAY, Lexington, KY, 40504. Phone: (859) 258-6101.
What is Ellen Flinchum, M.D.'s NPI number? ▼
Ellen Flinchum, M.D.'s National Provider Identifier (NPI) is 1134187859, issued on 05/02/2006.
Does Ellen Flinchum, M.D. prescribe more brand-name or generic drugs? ▼
Ellen Flinchum, M.D.'s prescribing is <1% brand-name and >99% generic drugs by claim count, with $11K in brand drug costs.
Does Ellen Flinchum, M.D. prescribe opioids? ▼
Yes, Ellen Flinchum, M.D. had 3,376 opioid claims in 2024 with an opioid prescribing rate of 74.4%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US? ▼
There are 15,618 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 793 Medicare Part D claims per year.
What drugs does Ellen Flinchum, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Ellen Flinchum, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ellen Flinchum, M.D. accept Medicare? ▼
Ellen Flinchum, M.D. appears in CMS Medicare data with 4,540 Part D claims and 388 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ellen Flinchum, M.D.'s credentials? ▼
Ellen Flinchum, M.D.'s NPI is 1134187859 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.