PlainDoctor

2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1366515033 M.D.
Verify on CMS →

Mark Elkus, M.D.

Adult Reconstructive Orthopaedic Surgery Physician in Birmingham, Alabama.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,254 in Adult Reconstructive Orthopaedic Surgery 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
2K
Medicare Part D claims · 552 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
9/100
▼ 75 pts below national avg 83.5 · Penalty band
Industry payments
$4.2K
12 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Mark Elkus, M.D. reported a CMS MIPS final score of 9/100 - below the 83.5 national average - and filed 2,051 Medicare Part D claims in 2023.

9/100
MIPS score · -75 vs avg
2K
Part D claims, 2023
98%
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.

Federal trust snapshot

What official records show about Mark Elkus, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1366515033), first enumerated 11/17/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 2,051 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 9/100 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

  • Reported

    Industry payment transparency

    $4.2K in reported industry payments (12 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • 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 1366515033 · Adult Reconstructive Orthopaedic Surgery Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-LOW · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1366515033
  • ENUM-LEGACY 2006
  • TAX-NARROW 1,254
  • MIPS-LOW 9/100
  • RX-MID 2,051
  • BOOK-THIN 8 in Alabama
  • PHOTO-FINISH David Waespe · ±0.5

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

Mark Elkus, M.D.'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.

9 ≥ 2nd percentile 2% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). This entry sits in this band. 10–20: 3,008 measured providers (1%). Above this entry. 20–30: 3,069 measured providers (1%). Above this entry. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 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

Where Mark Elkus, M.D. sits

This provider among adult reconstructive orthopaedic surgery physician peers

Across the 428 adult reconstructive orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mark Elkus, M.D. writes more Part D claims than 96% of them and scores higher on MIPS quality than 1% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 22Mark Elkus, M.D., Part D claim volume, percentile in specialty: 96 · MIPS quality, percentile: 1
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult reconstructive orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Mark Elkus, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Mark Elkus, M.D. 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 Mark Elkus, M.D.?

Below national average

NPI registry status

Active

Issued 11/17/2006

NPI 1366515033

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,254 US NPIs in this specialty

Medicare Part D claims

2,051 316% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

9/100 74.5 pts vs avg

Penalty band band

vs 83.5 national avg

Specialty distribution in Alabama

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Alabama providers

Alabama providers
Student in an Organized Heal…8.1%Pharmacist6.7%Family Nurse Practitioner5.9%Behavior Technician4.4%Physical Therapist4.2%Mental Health Counselor3.3%Adult Reconstructive Orthopa…0%
Largest specialties in Alabama (% of in-state providers)

Medicare quality performance, MIPS

Mark Elkus, M.D.'s 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
9/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%9%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) - 9/100 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

1400 SOUTH 19TH STREET
Birmingham, AL 35213
(205) 939-0610

Provider Details

NPI 1366515033
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 11/17/2006

CMS Quality Score (MIPS)

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

8.976
Final Score
Measured-score avg: 83.5
0
Quality
29.92
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Mark Elkus, 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.

Champion Sports Medicine Birmingham, LLC
Vestavia Hills, AL
Orthopedic Group OF Birmingham,p.c.
Birmingham, AL

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 Mark Elkus, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$4.2K

Largest payer

Think Surgical, Inc.

Most common payment type

Food and Beverage

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.

Brand vs generic prescribing mix · Generic-heavy

Mark Elkus, M.D. - brand share 2.0%
Adult Reconstructive Orthopaedic Surgery Physician average

2% brand-name claims vs 98% generic, on 2,051 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.

2,051
Total Claims
$40K
Total Drug Cost
552
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,159
Total Day Supply
44,361
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$7K
Generic Drug Cost
$33K
Opioid Claims
252 (12.3% rate)
Antibiotic Claims
268

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.01
Gender Split
70% female / 30% male
Age Distribution
<65: 38, 65-74: 288, 75-84: 194, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

What Mark Elkus, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Meloxicam
 295
Gabapentin
 281
Diclofenac Sodium
 273
Celecoxib
 179
Methylprednisolone
 153
Cephalexin
 146
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
127
Methocarbamol
 108
Cefadroxil
 92
Naproxen
 67

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

More Adult Reconstructive Orthopaedic Surgery Physician in AL → All providers in Alabama → Compare specialties →

Adult Reconstructive Orthopaedic Surgery Physician Overview

How Mark Elkus, M.D. fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,254
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

Mark Elkus, M.D.'s 2,051 claims are above the specialty average of 493.

Nationwide Adult Reconstructive Orthopaedic Surgery Physician peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (9 here).

David Waespe 8.5 KY Robert Montgomery 8 CA David Sheba 11.3 PA Abraham Kim 13.5 CA

Same NPPES enumeration year (2006)

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

Brian McDermott Fredericksburg, VA John Tilzey Burlington, MA Carl Wirth Slingerlands, NY James Henry Far Rockaway, NY

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Alabama

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

One of 8 Adult Reconstructive Orthopaedic Surgery Physician providers enrolled in Alabama, 5 are shown here.

Dr. Michael Blackmer
DO
Foley, AL
Dr. William Bose
MD
Mobile, AL
Dr. Sudhakar Madanagopal
MD
Huntsville, AL
Dr. John Riehl
MD
Decatur, AL
Dr. Oliver Scotting
MD
Birmingham, AL

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Mark Elkus, M.D.'s specialty? ▼
Mark Elkus, M.D. specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in Birmingham, Alabama. Credentials: M.D..
How much does Mark Elkus, M.D. prescribe under Medicare Part D? ▼
In 2023, Mark Elkus, M.D. wrote 2,051 Medicare Part D claims totaling $40K in drug costs for 552 beneficiaries.
What is Mark Elkus, M.D.'s Medicare quality score? ▼
Mark Elkus, M.D. has a CMS MIPS Final Score of 9/100 (Quality: 0, Cost: 29.9). 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 Mark Elkus, M.D. located? ▼
Mark Elkus, M.D. is located at 1400 SOUTH 19TH STREET, Birmingham, AL, 35213. Phone: (205) 939-0610.
What is Mark Elkus, M.D.'s NPI number? ▼
Mark Elkus, M.D.'s National Provider Identifier (NPI) is 1366515033, issued on 11/17/2006.
Does Mark Elkus, M.D. prescribe more brand-name or generic drugs? ▼
Mark Elkus, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $7K in brand drug costs.
Does Mark Elkus, M.D. prescribe opioids? ▼
Yes, Mark Elkus, M.D. had 252 opioid claims in 2023 with an opioid prescribing rate of 12.3%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US? ▼
There are 1,254 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does Mark Elkus, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Mark Elkus, M.D.'s most frequently prescribed drugs include Meloxicam, Gabapentin, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Elkus, M.D. accept Medicare? ▼
Mark Elkus, M.D. appears in CMS Medicare data with 2,051 Part D claims and 552 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Elkus, M.D.'s credentials? ▼
Mark Elkus, M.D.'s NPI is 1366515033 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 editorial process.

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.