2026 NPPES data Pediatric Sports Medicine Physician NPI 1861999435
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ELYSE JENSEN

Pediatric Sports Medicine Physician in DANVILLE, Pennsylvania. 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
43
Medicare Part D claims · 21 beneficiaries · Pediatric Sports Medicine Physician avg: 224

What the federal data shows

ELYSE JENSEN filed 43 Medicare Part D claims in 2023 as a Pediatric Sports Medicine Physician in DANVILLE, Pennsylvania.

43
Part D claims, 2023
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.

ELYSE JENSEN's Medicare Part D volume vs every U.S. prescriber

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

43 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. 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

Board certification likely (heuristic — not verified)

ELYSE JENSEN 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).

What does the federal data show about ELYSE JENSEN?

Quality data not reported

NPI registry status

Active

Issued 04/10/2018

NPI 1861999435

Primary specialty

Pediatric Sports Medicine Physician

Rare

212 US NPIs in this specialty

Medicare Part D claims

43 81% vs specialty avg

2023 prescription claims

Specialty avg: 224

Specialty distribution in Pennsylvania

How Pediatric Sports Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pediatric Sports Medicine Physician share within Pennsylvania

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

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Sports Medicine Physician (ABMS / AOA reference)

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

Est. board-certified rate (Pediatric Sports Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Sports Medicine 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).

ELYSE JENSEN appears in the CMS NPPES registry as a Pediatric Sports Medicine Physician provider at 16 WOODBINE LN, DANVILLE, PA, 17821, with a listed phone of (570) 271-6700. NPI 1861999435 was issued on 04/10/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JENSEN 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 43 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $5K in drug spend. 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.

Pediatric Sports Medicine Physician is a narrow specialty nationwide, with 212 enrolled providers across 39 states and an average of 224 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

16 WOODBINE LN
DANVILLE, PA 17821

Provider Details

NPI 1861999435
Specialty Pediatric Sports Medicine Physician
Gender Female
NPI Issued 04/10/2018

Hospital and facility affiliations

Facilities where ELYSE JENSEN 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.

GEISINGER CLINIC
DANVILLE, PA

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to ELYSE JENSEN. To verify ELYSE JENSEN's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

43
Total Claims
$5K
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
61
Total Day Supply
1,547
Generic Drug Cost
$508

Patient Demographics

Average Patient Age
69.2 years
Avg HCC Risk Score
1.41

Pediatric Sports Medicine Physician Overview

How ELYSE JENSEN fits within the Pediatric Sports Medicine Physician landscape nationally.

212
Pediatric Sports Medicine Physician Providers in US
39
States with Pediatric Sports Medicine Physician
224
Avg Claims per Provider

ELYSE JENSEN's 43 claims are below the specialty average of 224.

Nearby Pediatric Sports Medicine Physician Providers in Pennsylvania

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

Compare Pediatric Sports Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ELYSE JENSEN's specialty?
ELYSE JENSEN specializes in Pediatric Sports Medicine Physician and practices in DANVILLE, Pennsylvania.
How much does ELYSE JENSEN prescribe under Medicare Part D?
In 2023, ELYSE JENSEN wrote 43 Medicare Part D claims totaling $5K in drug costs for 21 beneficiaries.
Where is ELYSE JENSEN located?
ELYSE JENSEN is located at 16 WOODBINE LN, DANVILLE, PA, 17821. Phone: (570) 271-6700.
What is ELYSE JENSEN's NPI number?
ELYSE JENSEN's National Provider Identifier (NPI) is 1861999435, issued on 04/10/2018.
How many Pediatric Sports Medicine Physician providers are there in the US?
There are 212 Pediatric Sports Medicine Physician providers across 39 states in the US. The average Pediatric Sports Medicine Physician provider writes 224 Medicare Part D claims per year.
Does ELYSE JENSEN accept Medicare?
ELYSE JENSEN appears in CMS Medicare data with 43 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELYSE JENSEN's credentials?
ELYSE JENSEN's NPI is 1861999435. 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