2026 NPPES data Physician Assistant NPI 1275046526 PA
Verify on CMS →

RYAN ELA, PA

Physician Assistant in LEBANON, New Hampshire. 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
161
Medicare Part D claims · 47 beneficiaries · Physician Assistant avg: 790
MIPS score
76.0183/100
▼ 7 pts below national avg 83.1 · [object Object]
What the federal data reveals: RYAN ELA, PA is a Physician Assistant ([object Object]) practicing in LEBANON, New Hampshire with a Medicare Part D prescribing footprint of 161 claims across 47 beneficiaries . Their CMS MIPS Final Score of 76.0183/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What the federal data shows

RYAN ELA, PA reported a CMS MIPS final score of 76.0183/100 — below the 83.1 national average — and filed 161 Medicare Part D claims in 2023.

76.0183/100
MIPS score · -7 vs avg
161
Part D claims, 2023

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.

RYAN ELA, PA's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

76 21st percentile higher than 21% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

RYAN ELA, PA at a glance

Below national average

NPI registry status

Active

Issued 11/08/2017

NPI 1275046526

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

161 80% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

76.0183/100 7.081699999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Hampshire

How Physician Assistant compares to other specialties among New Hampshire providers

New Hampshire providers

Physician Assistant share within New Hampshire

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within New Hampshire

Medicare quality performance — MIPS

RYAN ELA, PA's 2023 MIPS final score plotted against the Physician Assistant national average

Below national average
MIPS Final Score
76.0183/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 76.0183/100 vs national avg 83.1

0%100%National avg83%76%
MIPS final score (Physician Assistant) — 76.0183/100 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).

RYAN ELA, PA is a Physician Assistant provider practicing in LEBANON, New Hampshire, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA. NPI: 1275046526. 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.

RYAN ELA, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 1 MEDICAL CENTER DR, LEBANON, NH, 03756, with a listed phone of (603) 650-8537. NPI 1275046526 was issued on 11/08/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELA 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 161 prescription claims written by this provider, covering 47 Medicare beneficiaries and totaling roughly $61K in drug spend, with an opioid prescribing rate of 7.5%. 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 76.0183/100 for the 2023 performance year (Quality 65.3198, Cost 54.7412), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

1 MEDICAL CENTER DR
LEBANON, NH 03756

Provider Details

NPI 1275046526
Specialty Physician Assistant
Credentials PA
Gender Female
NPI Issued 11/08/2017

CMS Quality Score (MIPS)

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

76.0183
Final Score
Avg: 83.1
65.3198
Quality
54.7412
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RYAN ELA, PA 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.

DARTMOUTH-HITCHCOCK CLINIC
LEBANON, NH

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

161
Total Claims
$61K
Total Drug Cost
47
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
282
Total Day Supply
7,715
Generic Drug Cost
$2K
Opioid Claims
12 (7.5% rate)
Antibiotic Claims
13

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
2.19
Gender Split
43% female / 57% 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
Pantoprazole Sodium
35
Creon
Lipase/Protease/Amylase
22
Omeprazole
13

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

Physician Assistant Overview

How RYAN ELA, PA fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

RYAN ELA, PA's 161 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in New Hampshire

Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as ELA.

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

Frequently Asked Questions

What is RYAN ELA, PA's specialty?
RYAN ELA, PA specializes in Physician Assistant and practices in LEBANON, New Hampshire. Credentials: PA.
How much does RYAN ELA, PA prescribe under Medicare Part D?
In 2023, RYAN ELA, PA wrote 161 Medicare Part D claims totaling $61K in drug costs for 47 beneficiaries.
What is RYAN ELA, PA's Medicare quality score?
RYAN ELA, PA has a CMS MIPS Final Score of 76.0183/100 (Quality: 65.3198, Cost: 54.7412). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RYAN ELA, PA located?
RYAN ELA, PA is located at 1 MEDICAL CENTER DR, LEBANON, NH, 03756. Phone: (603) 650-8537.
What is RYAN ELA, PA's NPI number?
RYAN ELA, PA's National Provider Identifier (NPI) is 1275046526, issued on 11/08/2017.
Does RYAN ELA, PA prescribe opioids?
Yes, RYAN ELA, PA had 12 opioid claims in 2023 with an opioid prescribing rate of 7.5%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does RYAN ELA, PA prescribe most often?
Based on 2023 Medicare Part D data, RYAN ELA, PA's most frequently prescribed drugs include Pantoprazole Sodium, Creon, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RYAN ELA, PA accept Medicare?
RYAN ELA, PA appears in CMS Medicare data with 161 Part D claims and 47 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RYAN ELA, PA's credentials?
RYAN ELA, PA's NPI is 1275046526 with credentials PA. 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