2026 NPPES data Adult Medicine Physician NPI 1245269364 M.D.
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RUSSELL ELWELL, M.D.

Adult Medicine Physician in WESTFIELD, New York. 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 · 253 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.7848/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$50.92
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RUSSELL ELWELL, M.D. is a Adult Medicine Physician ([object Object]) practicing in WESTFIELD, New York with a Medicare Part D prescribing footprint of 2K claims across 253 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 93.7848/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $50.92 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RUSSELL ELWELL, M.D. reported a CMS MIPS final score of 93.7848 out of 100, above the 83.1 national average, and filed 1,649 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)

RUSSELL ELWELL, 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).

RUSSELL ELWELL, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/01/2006

NPI 1245269364

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

1,649 41% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

MIPS final score

93.7848/100 10.68480000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Adult Medicine Physician compares to other specialties among New York providers

New York providers

Adult Medicine Physician share within New York

1. Adult Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Medicine Physician share within New York

Medicare quality performance — MIPS

RUSSELL ELWELL, M.D.'s 2023 MIPS final score plotted against the Adult Medicine Physician national average

High performer (top quartile)
MIPS Final Score
93.7848/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Medicine Physician) — 93.7848/100 vs national avg 83.1

0%100%National avg83%93.8%
MIPS final score (Adult Medicine Physician) — 93.7848/100 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).

RUSSELL ELWELL, M.D. is a Adult Medicine Physician provider practicing in WESTFIELD, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1245269364. 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.

RUSSELL ELWELL, M.D. appears in the CMS NPPES registry as a Adult Medicine Physician provider holding M.D. credentials at 158 E MAIN ST, WESTFIELD, NY, 14787, with a listed phone of (716) 326-4686. NPI 1245269364 was issued on 07/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELWELL 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 1,649 prescription claims written by this provider, covering 253 Medicare beneficiaries and totaling roughly $150K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 1.2%. 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 93.7848/100 for the 2023 performance year (Quality 85.0781), compared with the national average of 83.1.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

158 E MAIN ST
WESTFIELD, NY 14787

Provider Details

NPI 1245269364
Specialty Adult Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/01/2006

CMS Quality Score (MIPS)

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

93.7848
Final Score
Avg: 83.1
85.0781
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where RUSSELL ELWELL, 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.

CHAUTAUQUA MEDICAL PRACTICE PC
WESTFIELD, 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 RUSSELL ELWELL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$51

Largest payer

AstraZeneca Pharmaceuticals LP

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.

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 RUSSELL ELWELL, M.D.. To verify RUSSELL ELWELL, 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

RUSSELL ELWELL, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 1,649 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.

1,649
Total Claims
$150K
Total Drug Cost
253
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,139
Total Day Supply
121,189
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$122K
Generic Drug Cost
$27K
Opioid Claims
19 (1.2% rate)
Antibiotic Claims
62

Patient Demographics

Average Patient Age
77.1 years
Avg HCC Risk Score
1.01
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lisinopril
114
Amlodipine Besylate
106
Hydrochlorothiazide
105
Atorvastatin Calcium
82
Levothyroxine Sodium
76
Metoprolol Tartrate
45
Alendronate Sodium
43
Omeprazole
42
Rosuvastatin Calcium
42
Atenolol
41

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

Adult Medicine Physician Overview

How RUSSELL ELWELL, M.D. fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

RUSSELL ELWELL, M.D.'s 1,649 claims are below the specialty average of 2,807.

Nearby Adult 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 ELWELL.

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

Frequently Asked Questions

What is RUSSELL ELWELL, M.D.'s specialty?
RUSSELL ELWELL, M.D. specializes in Adult Medicine Physician and practices in WESTFIELD, New York. Credentials: M.D..
How much does RUSSELL ELWELL, M.D. prescribe under Medicare Part D?
In 2023, RUSSELL ELWELL, M.D. wrote 1,649 Medicare Part D claims totaling $150K in drug costs for 253 beneficiaries.
What is RUSSELL ELWELL, M.D.'s Medicare quality score?
RUSSELL ELWELL, M.D. has a CMS MIPS Final Score of 93.7848/100 (Quality: 85.0781). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RUSSELL ELWELL, M.D. located?
RUSSELL ELWELL, M.D. is located at 158 E MAIN ST, WESTFIELD, NY, 14787. Phone: (716) 326-4686.
What is RUSSELL ELWELL, M.D.'s NPI number?
RUSSELL ELWELL, M.D.'s National Provider Identifier (NPI) is 1245269364, issued on 07/01/2006.
Does RUSSELL ELWELL, M.D. prescribe more brand-name or generic drugs?
RUSSELL ELWELL, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $122K in brand drug costs.
Does RUSSELL ELWELL, M.D. prescribe opioids?
Yes, RUSSELL ELWELL, M.D. had 19 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does RUSSELL ELWELL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RUSSELL ELWELL, M.D.'s most frequently prescribed drugs include Lisinopril, Amlodipine Besylate, Hydrochlorothiazide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RUSSELL ELWELL, M.D. accept Medicare?
RUSSELL ELWELL, M.D. appears in CMS Medicare data with 1,649 Part D claims and 253 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RUSSELL ELWELL, M.D.'s credentials?
RUSSELL ELWELL, M.D.'s NPI is 1245269364 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