Elmyra V. Encarnacion, MD
NPI 1093762270ActiveIndividual· Psychiatry & Neurology, Neurology· Wilkes Barre, PA
Psychiatry & Neurology, Neurology (MD) with Sanford Bismarck, practicing in Wilkes Barre, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $58,643 for 610 claims, against $30,504 paid for services in 2024. Lists Sanford Medical Center Bismarck as a hospital affiliation.
Overview
| NPI | 1093762270 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 31, 2006 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Jul 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | MD422042 | PA |
| Psychiatry & Neurology, Neurology | 2084N0400X | N5037 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Neurology (MD); Practitioner - Neurology (ND); Practitioner - Neurology (PA); Practitioner - Neurology (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 255 |
|---|---|
| Services billed | 311 across 8 procedure codes |
| Paid by Medicare | $30,504 |
Part D prescriptions in 2024
| Prescriptions (claims) | 610 · 1,255 30-day fills |
|---|---|
| Patients | 162 |
| Total drug cost | $58,643 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Neurology |
| Telehealth | Offers telehealth |
Medical group
- Sanford BismarckBismarck, ND · 556 clinicians
Hospital affiliation
- Sanford Medical Center BismarckBismarck, ND
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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