NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1235767187 MD
Verify on CMS → Jalpa Soni, MD
Family Medicine Physician in Centerville, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
928
Medicare Part D claims · 117 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.5/100
▲ 1 pts above national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Jalpa Soni, MD reported a CMS MIPS final score of 84.5/100 - above the 83.1 national average - and filed 928 Medicare Part D claims in 2023.
- 84.5/100
- MIPS score · +1 vs avg
- 928
- Part D claims, 2023
- 83%
- 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.
Jalpa Soni, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 45th percentile higher than 45% of 477,587 scored providers
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
Where Jalpa Soni, MD sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jalpa Soni, MD writes more Part D claims than 33% of them and scores higher on MIPS quality than 45% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Jalpa Soni, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Jalpa Soni, MD 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 Jalpa Soni, MD?
Near national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
928 73% vs specialty avg
MIPS final score
84.5/100 1.4 pts vs avg
Specialty distribution in Ohio
How Family Medicine Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Jalpa Soni, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 84.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) - 84.5/100 vs national avg 83.1
How MIPS and board certification work
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).
Jalpa Soni, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 6438 WILMINGTON PIKE STE 100, Centerville, OH, 45459, with a listed phone of (937) 558-3840. NPI 1235767187 was issued on 03/27/2020.
Medicare Part D records for calendar year 2023 show 928 prescription claims written by this provider, covering 117 Medicare beneficiaries and totaling roughly $116K in drug spend, split 12% brand-name and 83% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.5/100 for the 2023 performance year (Quality 81.2, Cost 67.2), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 enrolled providers across 56 states and an average of 3,418 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
Provider Details
| NPI | 1235767187 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 03/27/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.5063
Final Score
Avg: 83.1
81.1663
Quality
67.188
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Jalpa Soni, MD 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.
Alliance Physicians Inc
Dayton, OH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to Jalpa Soni, MD. To verify Jalpa Soni, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Jalpa Soni, MD - brand share 12.0%
Family Medicine Physician average
12% brand-name claims vs 83% generic, on 928 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.
928
Total Claims
$116K
Total Drug Cost
117
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,982
- Total Day Supply
- 58,422
- Brand vs Generic
- 12% brand / 83% generic
- Brand Drug Cost
- $100K
- Generic Drug Cost
- $15K
Patient Demographics
- Average Patient Age
- 66.9 years
- Avg HCC Risk Score
- 1.60
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 32, 65-74: 57, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Jalpa Soni, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
100 claims
- Amlodipine Besylate
Amlodipine Besylate
63 claims
- Gabapentin 30
Gabapentin
30 claims
- Lisinopril 30
Lisinopril
30 claims
- Metformin Hcl 30
Metformin Hcl
30 claims
- Famotidine 26
Famotidine
26 claims
- Losartan Potassium 22
Losartan Potassium
22 claims
- Hydrochlorothiazide 21
Hydrochlorothiazide
21 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 100 |
| Amlodipine Besylate | 63 |
| Gabapentin | 30 |
| Lisinopril | 30 |
| Metformin Hcl | 30 |
| Famotidine | 26 |
| Losartan Potassium | 22 |
| Hydrochlorothiazide | 21 |
| Easy Touch Alcohol Prep Pads Alcohol Antiseptic Pads | 19 |
| Furosemide | 19 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Jalpa Soni, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Jalpa Soni, MD's 928 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Soni.
Dr. John Philamer Abad
M.D.
Westerville, OH
Dr. Katarina Abadie
M.D.
Solon, OH
Dr. Heeran Abawi
M.D.
Fairfield, OH
Zena Abd-Alahad
Toledo, OH
Dr. Ghassan Abdallah
M.D.
Middleburg Heights, OH
Compare Family Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Jalpa Soni, MD's specialty? ▼
Jalpa Soni, MD specializes in Family Medicine Physician and practices in Centerville, Ohio. Credentials: MD.
How much does Jalpa Soni, MD prescribe under Medicare Part D? ▼
In 2023, Jalpa Soni, MD wrote 928 Medicare Part D claims totaling $116K in drug costs for 117 beneficiaries.
What is Jalpa Soni, MD's Medicare quality score? ▼
Jalpa Soni, MD has a CMS MIPS Final Score of 84.5/100 (Quality: 81.2, Cost: 67.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jalpa Soni, MD located? ▼
Jalpa Soni, MD is located at 6438 WILMINGTON PIKE STE 100, Centerville, OH, 45459. Phone: (937) 558-3840.
What is Jalpa Soni, MD's NPI number? ▼
Jalpa Soni, MD's National Provider Identifier (NPI) is 1235767187, issued on 03/27/2020.
Does Jalpa Soni, MD prescribe more brand-name or generic drugs? ▼
Jalpa Soni, MD's prescribing is 12% brand-name and 83% generic drugs by claim count, with $100K in brand drug costs.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Jalpa Soni, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Jalpa Soni, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jalpa Soni, MD accept Medicare? ▼
Jalpa Soni, MD appears in CMS Medicare data with 928 Part D claims and 117 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jalpa Soni, MD's credentials? ▼
Jalpa Soni, MD's NPI is 1235767187 with credentials MD. 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.