Elaine Sorem, MD
NPI 1629167085 · Psychiatry Physician · Elkhorn, WI
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elaine Sorem, MD is a Psychiatry Physician provider in Elkhorn, WI (NPI 1629167085).
Provider details
- NPI number
- 1629167085
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 29695-020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
89 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 54 | $91 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 24 | $61 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 11 | $33 |
Typical Medicare-allowed amounts for these services range $33–$91 (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 · 51 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluoxetine Hcl | 203 | 15 |
| Risperidone | 156 | 13 |
| Quetiapine Fumarate | 150 | — |
| Clozapine | 147 | — |
| Clonazepam | 141 | 15 |
| Lamotrigine | 114 | 11 |
| Benztropine Mesylate | 105 | 11 |
| Olanzapine |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$402 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Frequently asked questions
- What is Elaine Sorem's NPI number?
- Elaine Sorem's National Provider Identifier (NPI) is 1629167085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elaine Sorem's specialty?
- Elaine Sorem is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Elaine Sorem located?
- Elaine Sorem's practice location on file with NPPES is 1910 County Road Nn, Elkhorn, WI 53121-4454.
- What is Elaine Sorem's phone number?
- The practice phone number listed in the NPPES registry for Elaine Sorem is (262) 741-3200.
- Does Elaine Sorem accept Medicare?
- Elaine Sorem is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elaine Sorem's NPI active?
- Yes — Elaine Sorem's NPI (1629167085) is active in the NPPES registry as of the last update on 2023-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.