NPI registry status
Active
2026 NPPES data Specialist NPI 1255422846 MD
Verify on CMS → Sandra Elliott, MD
Specialist in Charleston, West Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, 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 · 255 beneficiaries · Specialist avg: 1K
Generic prescribing
62%
generic claims · 38% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1/100
▲ 7 pts above national avg 83.1 · Exceptional
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
Sandra Elliott, MD reported a CMS MIPS final score of 90.1/100 - above the 83.1 national average - and filed 2,169 Medicare Part D claims in 2023.
- 90.1/100
- MIPS score · +7 vs avg
- 2K
- Part D claims, 2023
- 62%
- generic prescribing
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.
Sandra Elliott, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 40% higher than 60% 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 Sandra Elliott, MD sits
This provider among specialist peers
Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Sandra Elliott, MD writes more Part D claims than 73% of them and scores higher on MIPS quality than 68% - placing this provider in the high-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 specialist peer from a representative sample of 60; the gold marker is Sandra Elliott, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Sandra Elliott, MD?
High performer (top quartile)Primary specialty
Specialist
Medicare Part D claims
2,169 47% vs specialty avg
MIPS final score
90.1/100 7 pts vs avg
Specialty distribution in West Virginia
How Specialist compares to other specialties among West Virginia providers
Medicare quality performance, MIPS
Sandra Elliott, MD's 2023 MIPS final score plotted against the Specialist national average
- MIPS Final Score
- 90.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Specialist) - 90.1/100 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).
Sandra Elliott, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 3200 MACCORKLE AVENUE SE, Charleston, WV, 25304, with a listed phone of (304) 388-5590. NPI 1255422846 was issued on 09/27/2006.
Medicare Part D records for calendar year 2023 show 2,169 prescription claims written by this provider, covering 255 Medicare beneficiaries and totaling roughly $2.4 million in drug spend, split 38% brand-name and 62% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.1/100 for the 2023 performance year (Quality 67), compared with the national average of 83.1.
Specialist is a high-volume specialty nationwide, with 69,608 enrolled providers across 55 states and an average of 1,474 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 | 1255422846 |
|---|---|
| Specialty | Specialist |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 09/27/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.1191
Final Score
Avg: 83.1
66.9698
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Sandra Elliott, 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.
Charleston Area Medical Center Inc
Charleston, WV
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Above average
Sandra Elliott, MD - brand share 38.0%
Specialist average
38% brand-name claims vs 62% generic, on 2,169 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.
2,169
Total Claims
$2.4M
Total Drug Cost
255
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,296
- Total Day Supply
- 52,416
- Brand vs Generic
- 38% brand / 62% generic
- Brand Drug Cost
- $2.1M
- Generic Drug Cost
- $282K
- Antibiotic Claims
- 1,021
Patient Demographics
- Average Patient Age
- 67.2 years
- Avg HCC Risk Score
- 2.50
- Gender Split
- 46% female / 54% male
- Age Distribution
- <65: 88, 65-74: 98, 75-84: 52, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sandra Elliott, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Biktarvy
Biktarvy
213 claims
- Ertapenem
Ertapenem
174 claims
- Tivicay
Tivicay
118 claims
- Doxycycline Hyclate
Doxycycline Hyclate
116 claims
- Descovy
Descovy
89 claims
- Azithromycin
Azithromycin
86 claims
- Ethambutol Hcl 85
Ethambutol Hcl
85 claims
- Amoxicillin 71
Amoxicillin
71 claims
| Drug | Claims |
|---|---|
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 213 |
| Ertapenem Ertapenem Sodium | 174 |
| Tivicay Dolutegravir Sodium | 118 |
| Doxycycline Hyclate | 116 |
| Descovy Emtricitabine/Tenofov Alafenam | 89 |
| Azithromycin | 86 |
| Ethambutol Hcl | 85 |
| Amoxicillin | 71 |
| Cephalexin | 68 |
| Fluconazole | 62 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How Sandra Elliott, MD fits within the Specialist landscape nationally.
69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider
Sandra Elliott, MD's 2,169 claims are above the specialty average of 1,474.
Nearby Specialist Providers in West Virginia
Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Elliott.
Dr. Yusr Aboushaar
MD
Charleston, WV
Dr. Nazem Abraham
MD
Huntington, WV
Dr. Brittany Adams-Beymer
M.D.
Huntington, WV
Louwisa Adkins
Scott Depot, WV
Dr. Naushaba Ahmad
MD
Huntington, WV
Compare Specialist 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 West Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Specialist 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Explore West Virginia
Frequently Asked Questions
What is Sandra Elliott, MD's specialty? ▼
Sandra Elliott, MD specializes in Specialist and practices in Charleston, West Virginia. Credentials: MD.
How much does Sandra Elliott, MD prescribe under Medicare Part D? ▼
In 2023, Sandra Elliott, MD wrote 2,169 Medicare Part D claims totaling $2.4M in drug costs for 255 beneficiaries.
What is Sandra Elliott, MD's Medicare quality score? ▼
Sandra Elliott, MD has a CMS MIPS Final Score of 90.1/100 (Quality: 67). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sandra Elliott, MD located? ▼
Sandra Elliott, MD is located at 3200 MACCORKLE AVENUE SE, Charleston, WV, 25304. Phone: (304) 388-5590.
What is Sandra Elliott, MD's NPI number? ▼
Sandra Elliott, MD's National Provider Identifier (NPI) is 1255422846, issued on 09/27/2006.
Does Sandra Elliott, MD prescribe more brand-name or generic drugs? ▼
Sandra Elliott, MD's prescribing is 38% brand-name and 62% generic drugs by claim count, with $2.1M in brand drug costs.
How many Specialist providers are there in the US? ▼
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Sandra Elliott, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sandra Elliott, MD's most frequently prescribed drugs include Biktarvy, Ertapenem, Tivicay. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sandra Elliott, MD accept Medicare? ▼
Sandra Elliott, MD appears in CMS Medicare data with 2,169 Part D claims and 255 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sandra Elliott, MD's credentials? ▼
Sandra Elliott, MD's NPI is 1255422846 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.