NPI registry status
Active
2026 NPPES data Pediatric Endocrinology Physician NPI 1316130941 MD
Verify on CMS → Ksenia Tonyushkina, MD
Pediatric Endocrinology Physician in Cleveland, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,459 in Pediatric Endocrinology 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.
Prescribing volume
26
Medicare Part D claims · Pediatric Endocrinology Physician avg: 151
Generic prescribing
0%
generic claims · 92% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.5/100
▼ 4 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ksenia Tonyushkina, MD reported a CMS MIPS final score of 79.5/100 - below the 83.1 national average - and filed 26 Medicare Part D claims in 2023.
- 79.5/100
- MIPS score · -4 vs avg
- 26
- Part D claims, 2023
- 0%
- 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.
Ksenia Tonyushkina, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
80 30th percentile higher than 30% of 477,587 scored providers
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
Where Ksenia Tonyushkina, MD sits
This provider among pediatric endocrinology physician peers
Across the 61 pediatric endocrinology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ksenia Tonyushkina, MD writes more Part D claims than 43% of them and scores higher on MIPS quality than 41% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pediatric endocrinology physician peer from a representative sample of 60; the gold marker is Ksenia Tonyushkina, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ksenia Tonyushkina, 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 Ksenia Tonyushkina, MD?
Near national averagePrimary specialty
Pediatric Endocrinology Physician
Medicare Part D claims
26 83% vs specialty avg
MIPS final score
79.5/100 3.6 pts vs avg
Specialty distribution in Ohio
How Pediatric Endocrinology Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Ksenia Tonyushkina, MD's 2023 MIPS final score plotted against the Pediatric Endocrinology Physician national average
- MIPS Final Score
- 79.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Endocrinology Physician) - 79.5/100 vs national avg 83.1
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).
Ksenia Tonyushkina, MD appears in the CMS NPPES registry as a Pediatric Endocrinology Physician provider holding MD credentials at 11100 EUCLID AVE, Cleveland, OH, 44106, with a listed phone of (216) 844-3661. NPI 1316130941 was issued on 08/27/2007.
Medicare Part D records for calendar year 2023 show 26 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $13K in drug spend, split 92% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.5/100 for the 2023 performance year (Quality 68.5, Cost 63.1), compared with the national average of 83.1.
Pediatric Endocrinology Physician is a narrow specialty nationwide, with 1,459 enrolled providers across 51 states and an average of 151 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
Provider Details
| NPI | 1316130941 |
|---|---|
| Specialty | Pediatric Endocrinology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 08/27/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.4829
Final Score
Avg: 83.1
68.5144
Quality
63.0952
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Ksenia Tonyushkina, 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.
University Hospitals Medical Group Inc
Cleveland, OH
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 - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Ksenia Tonyushkina, MD. To verify Ksenia Tonyushkina, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Ksenia Tonyushkina, MD - brand share 92.0%
Pediatric Endocrinology Physician average
92% brand-name claims vs 0% generic, on 26 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.
26
Total Claims
$13K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 27
- Total Day Supply
- 805
- Brand vs Generic
- 92% brand / 0% generic
- Brand Drug Cost
- $13K
Patient Demographics
- Average Patient Age
- 24.8 years
- Avg HCC Risk Score
- 2.73
Pediatric Endocrinology Physician Overview
How Ksenia Tonyushkina, MD fits within the Pediatric Endocrinology Physician landscape nationally.
1,459
Pediatric Endocrinology Physician Providers in US
51
States with Pediatric Endocrinology Physician
151
Avg Claims per Provider
Ksenia Tonyushkina, MD's 26 claims are below the specialty average of 151.
Nearby Pediatric Endocrinology Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Tonyushkina.
Dr. Sarah Ackah
MD, MPH
Columbus, OH
Dr. Amjad Ali
MD
Columbus, OH
Lina Alkhaled
Cleveland, OH
Dr. Susan Almazan
MD
Dayton, OH
Ala'a Alsmadi
Columbus, OH
Compare Pediatric Endocrinology 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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Endocrinology 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.
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Frequently Asked Questions
What is Ksenia Tonyushkina, MD's specialty? ▼
Ksenia Tonyushkina, MD specializes in Pediatric Endocrinology Physician and practices in Cleveland, Ohio. Credentials: MD.
How much does Ksenia Tonyushkina, MD prescribe under Medicare Part D? ▼
In 2023, Ksenia Tonyushkina, MD wrote 26 Medicare Part D claims totaling $13K in drug costs for N/A beneficiaries.
What is Ksenia Tonyushkina, MD's Medicare quality score? ▼
Ksenia Tonyushkina, MD has a CMS MIPS Final Score of 79.5/100 (Quality: 68.5, Cost: 63.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ksenia Tonyushkina, MD located? ▼
Ksenia Tonyushkina, MD is located at 11100 EUCLID AVE, Cleveland, OH, 44106. Phone: (216) 844-3661.
What is Ksenia Tonyushkina, MD's NPI number? ▼
Ksenia Tonyushkina, MD's National Provider Identifier (NPI) is 1316130941, issued on 08/27/2007.
Does Ksenia Tonyushkina, MD prescribe more brand-name or generic drugs? ▼
Ksenia Tonyushkina, MD's prescribing is 92% brand-name and 0% generic drugs by claim count, with $13K in brand drug costs.
How many Pediatric Endocrinology Physician providers are there in the US? ▼
There are 1,459 Pediatric Endocrinology Physician providers across 51 states in the US. The average Pediatric Endocrinology Physician provider writes 151 Medicare Part D claims per year.
Does Ksenia Tonyushkina, MD accept Medicare? ▼
Ksenia Tonyushkina, MD appears in CMS Medicare data with 26 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ksenia Tonyushkina, MD's credentials? ▼
Ksenia Tonyushkina, MD's NPI is 1316130941 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.