2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1639601180 MD
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Elyce Opheim, MD

Student in an Organized Health Care Education/Training Program in Seattle, Washington. 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
3K
Medicare Part D claims · 170 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

Elyce Opheim, MD filed 2,869 Medicare Part D claims in 2023 as a Student in an Organized Health Care Education/Training Program in Seattle, Washington, prescribing 82% generic.

3K
Part D claims, 2023
82%
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.

Elyce Opheim, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,869 Top 12% higher than 88% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Elyce Opheim, MD?

Quality data not reported

NPI registry status

Active

Issued 04/03/2017

NPI 1639601180

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

2,869 vs specialty avg

2023 prescription claims

Specialty avg: 459

Specialty distribution in Washington

How Student in an Organized Health Care Education/Training Program compares to other specialties among Washington providers

Washington providers

Student in an Organized Health Care Education/Training Program share within Washington

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Student in an Organized Health Care Education/Training Program (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Student in an Organized Health Care Education/Training Program ABMS/AOA estimate

Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — 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).

Elyce Opheim, MD appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD credentials at 4831 35TH AVE SW, Seattle, WA, 98126, with a listed phone of (206) 923-3940. NPI 1639601180 was issued on 04/03/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Opheim 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 2,869 prescription claims written by this provider, covering 170 Medicare beneficiaries and totaling roughly $406K in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 4.0%. 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.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

4831 35TH AVE SW
Seattle, WA 98126

Provider Details

NPI 1639601180
Specialty Student in an Organized Health Care Education/Training Program
Credentials MD
Gender Female
NPI Issued 04/03/2017

Hospital and facility affiliations

Facilities where Elyce Opheim, 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.

Overlake Medical Clinics LLC
Bellevue, WA
Select Outpatient Services Inc
Glenview, IL
Select Rehabilitation, LLC
Glenview, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to Elyce Opheim, MD. To verify Elyce Opheim, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Elyce Opheim, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 2,869 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.

2,869
Total Claims
$406K
Total Drug Cost
170
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,015
Total Day Supply
76,998
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$323K
Generic Drug Cost
$80K
Opioid Claims
114 (4.0% rate)
Antibiotic Claims
70

Patient Demographics

Average Patient Age
77.5 years
Avg HCC Risk Score
3.06
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

What Elyce Opheim, 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
102
Lisinopril
102
Gabapentin
91
Levothyroxine Sodium
88
Losartan Potassium
82
Amlodipine Besylate
79
Metoprolol Succinate
74
Tamsulosin Hcl
71
Omeprazole
68
Eliquis
Apixaban
67

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

Student in an Organized Health Care Education/Training Program Overview

How Elyce Opheim, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

Elyce Opheim, MD's 2,869 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Washington

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

Compare Student in an Organized Health Care Education/Training Program 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 Washington medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Student in an Organized Health Care Education/Training Program 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 Elyce Opheim, MD's specialty?
Elyce Opheim, MD specializes in Student in an Organized Health Care Education/Training Program and practices in Seattle, Washington. Credentials: MD.
How much does Elyce Opheim, MD prescribe under Medicare Part D?
In 2023, Elyce Opheim, MD wrote 2,869 Medicare Part D claims totaling $406K in drug costs for 170 beneficiaries.
Where is Elyce Opheim, MD located?
Elyce Opheim, MD is located at 4831 35TH AVE SW, Seattle, WA, 98126. Phone: (206) 923-3940.
What is Elyce Opheim, MD's NPI number?
Elyce Opheim, MD's National Provider Identifier (NPI) is 1639601180, issued on 04/03/2017.
Does Elyce Opheim, MD prescribe more brand-name or generic drugs?
Elyce Opheim, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $323K in brand drug costs.
Does Elyce Opheim, MD prescribe opioids?
Yes, Elyce Opheim, MD had 114 opioid claims in 2023 with an opioid prescribing rate of 4.0%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Elyce Opheim, MD prescribe most often?
Based on 2023 Medicare Part D data, Elyce Opheim, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Elyce Opheim, MD accept Medicare?
Elyce Opheim, MD appears in CMS Medicare data with 2,869 Part D claims and 170 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Elyce Opheim, MD's credentials?
Elyce Opheim, MD's NPI is 1639601180 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