Physician Profile
Based in Wilkes Barre, PA, Elmyra V. Encarnacion, MD is listed in the NPI registry under neurology. According to Medicare claims data, Elmyra cared for 278 Medicare patients across 302 services. The services billed most often include established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more, established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and new patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more. NPI 1093762270 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
1000 E MOUNTAIN BLVD
Wilkes Barre, PA 18711
Within Neurology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Headache and facial pain
Memory and cognition
Movement disorders
Neuromuscular and peripheral nerve
Seizures and epilepsy
Stroke and vascular
Brain & Spine
Brain tumors
Head & Facial Pain
Memory & Cognitive
Movement Disorders
Nerve Compression
Sleep & Movement
Spine and nerve
Spine, brain injury, and functional
Most searched procedures
Consultation and testing
Consultations & Exams
Consultations and exams
Device management
Diagnostic Testing
Infusion and medical therapies
Infusions & Therapies
Injections & Pain Relief
Medication Management
Neuromodulation
Office procedures
Trauma & Injury
302 services · 278 patients · 4 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
123 | More often than most peers in Neurology |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
123 | As often as other peers in Neurology |
| New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | Office visit | 99205 |
31 | As often as other peers in Neurology |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
25 | Less often than most peers in Neurology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Encarnacion is a neurologist in Wilkes Barre, PA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Neurology”.
NPI registry
Dr. Encarnacion is listed at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (570) 808-6026. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Encarnacion's National Provider Identifier is 1093762270. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Encarnacion attended Other, graduating in 1995. This comes from the CMS National Downloadable File.
CMS public data
Dr. Encarnacion has 31 years experience. Calculated from a graduation year of 1995, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Encarnacion the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Encarnacion. If this is you, claiming it is free.
Guide.md
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