2026 NPPES data Ophthalmology Physician NPI 1952314478 M.D.
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JOSEPH ELMAN, M.D.

Ophthalmology Physician in NORTH HAVEN, Connecticut. 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
2K
Medicare Part D claims · 454 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
What the federal data reveals: JOSEPH ELMAN, M.D. is a Ophthalmology Physician ([object Object]) practicing in NORTH HAVEN, Connecticut with a Medicare Part D prescribing footprint of 2K claims across 454 beneficiaries — 35% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOSEPH ELMAN, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 2,249 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOSEPH ELMAN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOSEPH ELMAN, M.D. at a glance

Below national average

NPI registry status

Active

Issued 08/14/2006

NPI 1952314478

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

2,249 58% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Connecticut

How Ophthalmology Physician compares to other specialties among Connecticut providers

Connecticut providers

Ophthalmology Physician share within Connecticut

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

Medicare quality performance — MIPS

JOSEPH ELMAN, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Ophthalmology Physician) — 75/100 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).

JOSEPH ELMAN, M.D. is a Ophthalmology Physician provider practicing in NORTH HAVEN, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1952314478. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOSEPH ELMAN, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 140 WASHINGTON AVE, NORTH HAVEN, CT, 06473, with a listed phone of (203) 234-6872. NPI 1952314478 was issued on 08/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELMAN 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 2,249 prescription claims written by this provider, covering 454 Medicare beneficiaries and totaling roughly $270K in drug spend, split 35% brand-name and 65% 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

140 WASHINGTON AVE
NORTH HAVEN, CT 06473

Provider Details

NPI 1952314478
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 08/14/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Brand vs generic prescribing mix · Above average

JOSEPH ELMAN, M.D. — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 2,249 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.

2,249
Total Claims
$270K
Total Drug Cost
454
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,405
Total Day Supply
88,185
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$213K
Generic Drug Cost
$57K

Patient Demographics

Average Patient Age
78.4 years
Avg HCC Risk Score
1.23
Gender Split
66% female / 34% male
Age Distribution
<65: 11, 65-74: 147, 75-84: 176, 85+: 120

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
490
Ketorolac Tromethamine
263
Timolol Maleate
253
Prednisolone Acetate
248
Gatifloxacin
172
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
128
Brimonidine Tartrate
81
Erythromycin
Erythromycin Base
79
Restasis
Cyclosporine
74
Moxifloxacin
Moxifloxacin Hcl
66

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

Ophthalmology Physician Overview

How JOSEPH ELMAN, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

JOSEPH ELMAN, M.D.'s 2,249 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Connecticut

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEPH ELMAN, M.D.'s specialty?
JOSEPH ELMAN, M.D. specializes in Ophthalmology Physician and practices in NORTH HAVEN, Connecticut. Credentials: M.D..
How much does JOSEPH ELMAN, M.D. prescribe under Medicare Part D?
In 2023, JOSEPH ELMAN, M.D. wrote 2,249 Medicare Part D claims totaling $270K in drug costs for 454 beneficiaries.
What is JOSEPH ELMAN, M.D.'s Medicare quality score?
JOSEPH ELMAN, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEPH ELMAN, M.D. located?
JOSEPH ELMAN, M.D. is located at 140 WASHINGTON AVE, NORTH HAVEN, CT, 06473. Phone: (203) 234-6872.
What is JOSEPH ELMAN, M.D.'s NPI number?
JOSEPH ELMAN, M.D.'s National Provider Identifier (NPI) is 1952314478, issued on 08/14/2006.
Does JOSEPH ELMAN, M.D. prescribe more brand-name or generic drugs?
JOSEPH ELMAN, M.D.'s prescribing is 35% brand-name and 65% generic drugs by claim count, with $213K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does JOSEPH ELMAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH ELMAN, M.D.'s most frequently prescribed drugs include Latanoprost, Ketorolac Tromethamine, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH ELMAN, M.D. accept Medicare?
JOSEPH ELMAN, M.D. appears in CMS Medicare data with 2,249 Part D claims and 454 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH ELMAN, M.D.'s credentials?
JOSEPH ELMAN, M.D.'s NPI is 1952314478 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

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