2026 NPPES data Internal Medicine Physician NPI 1952749756 MD
Verify on CMS →

Elmer Riley, MD

Internal Medicine Physician in Kansas City, Missouri. 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
55
Medicare Part D claims · 19 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
42%
generic claims · 58% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.9/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$18.71
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Elmer Riley, MD reported a CMS MIPS final score of 91.9/100 — above the 83.1 national average — and filed 55 Medicare Part D claims in 2023.

91.9/100
MIPS score · +9 vs avg
55
Part D claims, 2023
42%
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.

Elmer Riley, MD's MIPS score vs every scored U.S. clinician

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

92 Top 37% higher than 63% 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)

Elmer Riley, MD 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 Elmer Riley, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/13/2013

NPI 1952749756

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

55 98% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

91.9/100 8.8 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Internal Medicine Physician compares to other specialties among Missouri providers

Missouri providers

Internal Medicine Physician share within Missouri

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

Medicare quality performance — MIPS

Elmer Riley, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
91.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 91.9/100 vs national avg 83.1

0%100%National avg83%91.9%
MIPS final score (Internal Medicine Physician) — 91.9/100 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).

Elmer Riley, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 4801 E LINWOOD BLVD, Kansas City, MO, 64128, with a listed phone of (816) 922-2088. NPI 1952749756 was issued on 06/13/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Riley 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 55 prescription claims written by this provider, covering 19 Medicare beneficiaries and totaling roughly $61K in drug spend, split 58% brand-name and 42% 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 91.9/100 for the 2023 performance year (Quality 75.2), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

4801 E LINWOOD BLVD
Kansas City, MO 64128

Provider Details

NPI 1952749756
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/13/2013

CMS Quality Score (MIPS)

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

91.8902
Final Score
Avg: 83.1
75.1734
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Elmer Riley, 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.

Kansas University Physicians Inc
Kansas City, KS

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 Elmer Riley, MD. Source: openpaymentsdata.cms.gov.

Total received

$19

Largest payer

Grifols USA, LLC

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 · Brand-heavy

Elmer Riley, MD — brand share 58.0%
Specialty average (est.)

58% brand-name claims vs 42% generic, on 55 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.

55
Total Claims
$61K
Total Drug Cost
19
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
68
Total Day Supply
1,964
Brand vs Generic
58% brand / 42% generic
Brand Drug Cost
$58K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
66.8 years
Avg HCC Risk Score
2.23

Internal Medicine Physician Overview

How Elmer Riley, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Elmer Riley, MD's 55 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Missouri

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

Compare Internal Medicine Physician 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 Missouri medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine Physician 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 Elmer Riley, MD's specialty?
Elmer Riley, MD specializes in Internal Medicine Physician and practices in Kansas City, Missouri. Credentials: MD.
How much does Elmer Riley, MD prescribe under Medicare Part D?
In 2023, Elmer Riley, MD wrote 55 Medicare Part D claims totaling $61K in drug costs for 19 beneficiaries.
What is Elmer Riley, MD's Medicare quality score?
Elmer Riley, MD has a CMS MIPS Final Score of 91.9/100 (Quality: 75.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Elmer Riley, MD located?
Elmer Riley, MD is located at 4801 E LINWOOD BLVD, Kansas City, MO, 64128. Phone: (816) 922-2088.
What is Elmer Riley, MD's NPI number?
Elmer Riley, MD's National Provider Identifier (NPI) is 1952749756, issued on 06/13/2013.
Does Elmer Riley, MD prescribe more brand-name or generic drugs?
Elmer Riley, MD's prescribing is 58% brand-name and 42% generic drugs by claim count, with $58K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
Does Elmer Riley, MD accept Medicare?
Elmer Riley, MD appears in CMS Medicare data with 55 Part D claims and 19 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Elmer Riley, MD's credentials?
Elmer Riley, MD's NPI is 1952749756 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