2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1548427461 M.D.
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COSTA SOTEROPOULOS, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician in FREDERICKSBURG, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
948
Medicare Part D claims · 301 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.3635/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$1.2K
60 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

COSTA SOTEROPOULOS, M.D. reported a CMS MIPS final score of 84.3635/100 — above the 83.1 national average — and filed 948 Medicare Part D claims in 2023.

84.3635/100
MIPS score · +1 vs avg
948
Part D claims, 2023
90%
generic prescribing
Likely
board-certified (heuristic)

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.

COSTA SOTEROPOULOS, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

84 45th percentile higher than 45% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

COSTA SOTEROPOULOS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about COSTA SOTEROPOULOS, M.D.?

Near national average

NPI registry status

Active

Issued 05/19/2008

NPI 1548427461

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

948 32% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

84.3635/100 1.2635000000000076% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Virginia providers

Virginia providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Virginia

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Virginia

Medicare quality performance — MIPS

COSTA SOTEROPOULOS, M.D.'s 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

Near national average
MIPS Final Score
84.3635/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 84.3635/100 vs national avg 83.1

0%100%National avg83%84.4%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 84.3635/100 vs national avg 83.1

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).

COSTA SOTEROPOULOS, M.D. appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 411-B PARK HILL DR, FREDERICKSBURG, VA, 22401, with a listed phone of (703) 914-8000. NPI 1548427461 was issued on 05/19/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SOTEROPOULOS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 948 prescription claims written by this provider, covering 301 Medicare beneficiaries and totaling roughly $77K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 58.8%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.3635/100 for the 2023 performance year (Quality 71.5701), compared with the national average of 83.1.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

411-B PARK HILL DR
FREDERICKSBURG, VA 22401

Provider Details

NPI 1548427461
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials M.D.
Gender Male
NPI Issued 05/19/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

84.3635
Final Score
Avg: 83.1
71.5701
Quality
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where COSTA SOTEROPOULOS, M.D. 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.

PHYSICAL MEDICINE ASSOCIATES LTD
WOODBRIDGE, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for COSTA SOTEROPOULOS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

Collegium Pharmaceutical, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

COSTA SOTEROPOULOS, M.D. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 948 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.

948
Total Claims
$77K
Total Drug Cost
301
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,007
Total Day Supply
29,047
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$55K
Generic Drug Cost
$22K
Opioid Claims
557 (58.8% rate)

Patient Demographics

Average Patient Age
67.0 years
Avg HCC Risk Score
1.61
Gender Split
69% female / 31% male
Age Distribution
<65: 111, 65-74: 114, 75-84: 64, 85+: 12

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What COSTA SOTEROPOULOS, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Oxycodone Hcl
160
Gabapentin
144
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
112
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
91
Morphine Sulfate Er
Morphine Sulfate
58
Pregabalin
52
Methocarbamol
48
Tramadol Hcl
38
Cyclobenzaprine Hcl
27
Duloxetine Hcl
27

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How COSTA SOTEROPOULOS, M.D. fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

COSTA SOTEROPOULOS, M.D.'s 948 claims are below the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as SOTEROPOULOS.

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is COSTA SOTEROPOULOS, M.D.'s specialty?
COSTA SOTEROPOULOS, M.D. specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in FREDERICKSBURG, Virginia. Credentials: M.D..
How much does COSTA SOTEROPOULOS, M.D. prescribe under Medicare Part D?
In 2023, COSTA SOTEROPOULOS, M.D. wrote 948 Medicare Part D claims totaling $77K in drug costs for 301 beneficiaries.
What is COSTA SOTEROPOULOS, M.D.'s Medicare quality score?
COSTA SOTEROPOULOS, M.D. has a CMS MIPS Final Score of 84.3635/100 (Quality: 71.5701). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is COSTA SOTEROPOULOS, M.D. located?
COSTA SOTEROPOULOS, M.D. is located at 411-B PARK HILL DR, FREDERICKSBURG, VA, 22401. Phone: (703) 914-8000.
What is COSTA SOTEROPOULOS, M.D.'s NPI number?
COSTA SOTEROPOULOS, M.D.'s National Provider Identifier (NPI) is 1548427461, issued on 05/19/2008.
Does COSTA SOTEROPOULOS, M.D. prescribe more brand-name or generic drugs?
COSTA SOTEROPOULOS, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $55K in brand drug costs.
Does COSTA SOTEROPOULOS, M.D. prescribe opioids?
Yes, COSTA SOTEROPOULOS, M.D. had 557 opioid claims in 2023 with an opioid prescribing rate of 58.8%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does COSTA SOTEROPOULOS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, COSTA SOTEROPOULOS, M.D.'s most frequently prescribed drugs include Oxycodone Hcl, Gabapentin, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does COSTA SOTEROPOULOS, M.D. accept Medicare?
COSTA SOTEROPOULOS, M.D. appears in CMS Medicare data with 948 Part D claims and 301 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify COSTA SOTEROPOULOS, M.D.'s credentials?
COSTA SOTEROPOULOS, M.D.'s NPI is 1548427461 with credentials M.D.. 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

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