Elmyra Encarnacion, MD
NPI 1093762270 · Neurology Physician · Wilkes Barre, PA
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elmyra Encarnacion, MD is a Neurology Physician provider in Wilkes Barre, PA (NPI 1093762270).
Provider details
- NPI number
- 1093762270
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- N5037 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
302 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 123 | $118 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 123 | $159 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 31 | $191 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 25 | $83 |
Typical Medicare-allowed amounts for these services range $83–$191 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 157 | 59 |
| Donepezil Hcl | 38 | — |
| Memantine Hcl | 35 | — |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa Er | 28 | 11 |
| Levetiracetam | 27 | — |
| Duloxetine Hcl | 19 | — |
| Primidone | 18 | — |
| Lamotrigine |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2020-07-10
- Certified
- 2020-07-10
Frequently asked questions
- What is Elmyra Encarnacion's NPI number?
- Elmyra Encarnacion's National Provider Identifier (NPI) is 1093762270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elmyra Encarnacion's specialty?
- Elmyra Encarnacion is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Elmyra Encarnacion located?
- Elmyra Encarnacion's practice location on file with NPPES is 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027.
- What is Elmyra Encarnacion's phone number?
- The practice phone number listed in the NPPES registry for Elmyra Encarnacion is (570) 808-6026.
- Does Elmyra Encarnacion accept Medicare?
- Elmyra Encarnacion is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elmyra Encarnacion's NPI active?
- Yes — Elmyra Encarnacion's NPI (1093762270) is active in the NPPES registry as of the last update on 2020-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.