NPI registry status
Active
2026 NPPES data Spinal Cord Injury Medicine Physician NPI 1295994531 M.D.
Verify on CMS → Lisa Ruppert, M.D.
Spinal Cord Injury Medicine Physician in New York, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 261 in Spinal Cord Injury 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.
Prescribing volume
172
Medicare Part D claims · 39 beneficiaries · Spinal Cord Injury Medicine Physician avg: 705
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.8/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$2.7K
1 payments · CMS Open Payments (Sunshine Act)
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
Lisa Ruppert, M.D. reported a CMS MIPS final score of 96.8/100 - above the 83.1 national average - and filed 172 Medicare Part D claims in 2023.
- 96.8/100
- MIPS score · +14 vs avg
- 172
- Part D claims, 2023
- 84%
- 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.
Lisa Ruppert, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
97 Top 17% higher than 83% 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 Lisa Ruppert, M.D. sits
This provider among spinal cord injury medicine physician peers
Across the 54 spinal cord injury medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Lisa Ruppert, M.D. writes more Part D claims than 30% of them and scores higher on MIPS quality than 74% - placing this provider in the lower-volume, high-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 spinal cord injury medicine physician peer from a representative sample of 53; the gold marker is Lisa Ruppert, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Lisa Ruppert, M.D. 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 Lisa Ruppert, M.D.?
High performer (top quartile)Primary specialty
Spinal Cord Injury Medicine Physician
Medicare Part D claims
172 76% vs specialty avg
MIPS final score
96.8/100 13.7 pts vs avg
Specialty distribution in New York
How Spinal Cord Injury Medicine Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Lisa Ruppert, M.D.'s 2023 MIPS final score plotted against the Spinal Cord Injury Medicine Physician national average
- MIPS Final Score
- 96.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Spinal Cord Injury Medicine Physician) - 96.8/100 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).
Lisa Ruppert, M.D. appears in the CMS NPPES registry as a Spinal Cord Injury Medicine Physician provider holding M.D. credentials at 515 MADISON AVE, New York, NY, 10022, with a listed phone of (646) 888-1936. NPI 1295994531 was issued on 06/02/2008.
Medicare Part D records for calendar year 2023 show 172 prescription claims written by this provider, covering 39 Medicare beneficiaries and totaling roughly $23K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 15.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.8/100 for the 2023 performance year (Quality 88.8), compared with the national average of 83.1.
Spinal Cord Injury Medicine Physician is a narrow specialty nationwide, with 261 enrolled providers across 36 states and an average of 705 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 | 1295994531 |
|---|---|
| Specialty | Spinal Cord Injury Medicine Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 06/02/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
96.7831
Final Score
Avg: 83.1
88.8074
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Lisa Ruppert, M.D. 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.
Memorial Neurology Group
New York, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Lisa Ruppert, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$2.7K
Largest payer
Amgen Inc.
Most common payment type
Consulting Fee
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Lisa Ruppert, M.D.. To verify Lisa Ruppert, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Lisa Ruppert, M.D. - brand share 16.0%
Spinal Cord Injury Medicine Physician average
16% brand-name claims vs 84% generic, on 172 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.
172
Total Claims
$23K
Total Drug Cost
39
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 241
- Total Day Supply
- 6,874
- Brand vs Generic
- 16% brand / 84% generic
- Brand Drug Cost
- $15K
- Generic Drug Cost
- $8K
- Opioid Claims
- 26 (15.1% rate)
Patient Demographics
- Average Patient Age
- 68.0 years
- Avg HCC Risk Score
- 2.04
- Gender Split
- 56% female / 44% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Lisa Ruppert, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
33 claims
- Linzess
Linzess
15 claims
- Baclofen 13
Baclofen
13 claims
| Drug | Claims |
|---|---|
| Gabapentin | 33 |
| Linzess Linaclotide | 15 |
| Baclofen | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Spinal Cord Injury Medicine Physician in NY →
All providers in New York →
Compare specialties →
Spinal Cord Injury Medicine Physician Overview
How Lisa Ruppert, M.D. fits within the Spinal Cord Injury Medicine Physician landscape nationally.
261
Spinal Cord Injury Medicine Physician Providers in US
36
States with Spinal Cord Injury Medicine Physician
705
Avg Claims per Provider
Lisa Ruppert, M.D.'s 172 claims are below the specialty average of 705.
Nearby Spinal Cord Injury Medicine Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Ruppert.
Dr. Jung Ahn
M.D.
New York, NY
Dr. Naciye Bilgin Badur
MD
Syracuse, NY
Dr. Jaishree Capoor
MD
Elmhurst, NY
Dr. Inocencia Carrano
M.D.
Middletown, NY
Dr. Bojun Chen
M.D.
Flushing, NY
Compare Spinal Cord Injury Medicine 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Spinal Cord Injury Medicine 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 Lisa Ruppert, M.D.'s specialty? ▼
Lisa Ruppert, M.D. specializes in Spinal Cord Injury Medicine Physician and practices in New York, New York. Credentials: M.D..
How much does Lisa Ruppert, M.D. prescribe under Medicare Part D? ▼
In 2023, Lisa Ruppert, M.D. wrote 172 Medicare Part D claims totaling $23K in drug costs for 39 beneficiaries.
What is Lisa Ruppert, M.D.'s Medicare quality score? ▼
Lisa Ruppert, M.D. has a CMS MIPS Final Score of 96.8/100 (Quality: 88.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Lisa Ruppert, M.D. located? ▼
Lisa Ruppert, M.D. is located at 515 MADISON AVE, New York, NY, 10022. Phone: (646) 888-1936.
What is Lisa Ruppert, M.D.'s NPI number? ▼
Lisa Ruppert, M.D.'s National Provider Identifier (NPI) is 1295994531, issued on 06/02/2008.
Does Lisa Ruppert, M.D. prescribe more brand-name or generic drugs? ▼
Lisa Ruppert, M.D.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $15K in brand drug costs.
Does Lisa Ruppert, M.D. prescribe opioids? ▼
Yes, Lisa Ruppert, M.D. had 26 opioid claims in 2023 with an opioid prescribing rate of 15.1%.
How many Spinal Cord Injury Medicine Physician providers are there in the US? ▼
There are 261 Spinal Cord Injury Medicine Physician providers across 36 states in the US. The average Spinal Cord Injury Medicine Physician provider writes 705 Medicare Part D claims per year.
What drugs does Lisa Ruppert, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Lisa Ruppert, M.D.'s most frequently prescribed drugs include Gabapentin, Linzess, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lisa Ruppert, M.D. accept Medicare? ▼
Lisa Ruppert, M.D. appears in CMS Medicare data with 172 Part D claims and 39 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lisa Ruppert, M.D.'s credentials? ▼
Lisa Ruppert, M.D.'s NPI is 1295994531 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
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.