2026 NPPES data Internal Medicine Physician NPI 1316921687 MD
Verify on CMS →

Jelena Licina, MD

Internal Medicine Physician in Maplewood, Minnesota.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 174,792 in Internal Medicine 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.
MIPS score
77.2/100
▼ 6 pts below national avg 83.5 · Above neutral

What the federal data shows

Jelena Licina, MD reported a CMS MIPS final score of 77.2/100 - below the 83.5 national average.

77.2/100
MIPS score · -6 vs avg
Likely
board-certified (heuristic)
≥20th
pct among measured MIPS (lower-bound band)

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 Jelena Licina, MD

Federal records show an active NPI with a CMS quality score on file — objective federal reporting, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1316921687), first enumerated 12/01/2005.

    Source: CMS NPPES

  • Not in federal data

    Medicare Part D participation

    No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 77.2/100 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

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

    Source: CMS Care Compare

  • 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 1316921687 · Internal Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-BELOW · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1316921687
  • ENUM-LEGACY 2005
  • TAX-MEGA 175K Internal Medicine
  • MIPS-BELOW 77.2/100
  • BOOK-LIGHT 3,440 in Minnesota
  • PHOTO-FINISH Maher Alami · ±0.0

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

Jelena Licina, MD'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.

77 ≥ 20th percentile 20% 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%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. 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

Board certification likely (heuristic, not verified)

Jelena Licina, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Jelena Licina, MD?

Below national average

NPI registry status

Active

Issued 12/01/2005

NPI 1316921687

Primary specialty

Internal Medicine Physician

High-volume

174,792 US NPIs in this specialty

MIPS final score

77.2/100 6.3 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Minnesota

How Internal Medicine Physician compares to other specialties among Minnesota providers

Minnesota providers
Behavior Technician12%Clinical Social Worker4.7%Physical Therapist4%Pharmacist3.7%Student in an Organized Heal…3.4%Mental Health Counselor3.1%Internal Medicine Physician2.6%
Largest specialties in Minnesota (% of in-state providers)

Medicare quality performance, MIPS

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

Below national average
MIPS Final Score
77.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%77.2%
MIPS final score (Internal Medicine Physician) - 77.2/100 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

1575 BEAM AVE
Maplewood, MN 55109

Provider Details

NPI 1316921687
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 12/01/2005

CMS Quality Score (MIPS)

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

77.1751
Final Score
Measured-score avg: 83.5
80.2782
Quality
59.4721
Cost
81
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Jelena Licina, 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.

Colorado Permanente Medical Group PC
Denver, CO
Northwest Hospital Medicine Physicians LLC
Kennewick, WA

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

Internal Medicine Physician Overview

How Jelena Licina, MD fits within the Internal Medicine Physician landscape nationally.

174,792
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,703
Avg Claims per Provider

Nationwide Internal Medicine Physician peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (77.2 here).

Same NPPES enumeration year (2005)

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

Nearby Internal Medicine Physician Providers in Minnesota

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

One of 3,440 Internal Medicine Physician providers enrolled in Minnesota, 5 are shown here.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Jelena Licina, MD's specialty?
Jelena Licina, MD specializes in Internal Medicine Physician and practices in Maplewood, Minnesota. Credentials: MD.
What is Jelena Licina, MD's Medicare quality score?
Jelena Licina, MD has a CMS MIPS Final Score of 77.2/100 (Quality: 80.3, Cost: 59.5). 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 Jelena Licina, MD located?
Jelena Licina, MD is located at 1575 BEAM AVE, Maplewood, MN, 55109. Phone: (651) 232-2000.
What is Jelena Licina, MD's NPI number?
Jelena Licina, MD's National Provider Identifier (NPI) is 1316921687, issued on 12/01/2005.
How many Internal Medicine Physician providers are there in the US?
There are 174,792 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,703 Medicare Part D claims per year.
Does Jelena Licina, MD accept Medicare?
Jelena Licina, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jelena Licina, MD's credentials?
Jelena Licina, MD's NPI is 1316921687 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

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.
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

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.