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2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1508415027 PA-S
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Joshua Sands, PA-S

Student in an Organized Health Care Education/Training Program in Seattle, Washington. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 331,761 in Student in an Organized Health Care Education/Training Program, 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
2K
Medicare Part D claims · 241 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.2/100
▲ 5 pts above national avg 83.1 · Above neutral
Industry payments
$19.6
1 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Joshua Sands, PA-S reported a CMS MIPS final score of 88.2/100 — above the 83.1 national average — and filed 2,383 Medicare Part D claims in 2023.

88.2/100
MIPS score · +5 vs avg
2K
Part D claims, 2023
88%
generic prescribing
$19.6
industry payments (Sunshine Act)

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.

Joshua Sands, PA-S's MIPS score vs every scored U.S. clinician

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

88 Top 44% higher than 56% 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

Where Joshua Sands, PA-S sits

This provider among student in an organized health care education/training program peers

Across the 12,645 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, Joshua Sands, PA-S writes more Part D claims than 91% of them and scores higher on MIPS quality than 53% — placing this provider in the high-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 30Joshua Sands, PA-S — Part D claim volume — percentile in specialty: 91 · MIPS quality — percentile: 53
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one student in an organized health care education/training program peer from a representative sample of 60; the gold marker is Joshua Sands, PA-S. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Joshua Sands, PA-S?

High performer (top quartile)

NPI registry status

Active

Issued 09/06/2019

NPI 1508415027

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

2,383 5× vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

88.2/100 5.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Student in an Organized Health Care Education/Training Program compares to other specialties among Washington providers

Washington providers

Largest specialties in Washington (% of in-state providers)

Mental Health Counselor — 8.6%Mental Health Counselor8.6%Massage Therapist — 6.5%Massage Therapist6.5%Counselor — 5.7%Counselor5.7%Behavior Technician — 4.5%Behavior Technician4.5%Pharmacist — 4%Pharmacist4%Physical Therapist — 3.6%Physical Therapist3.6%Student in an Organized Health Care Education/Training Program — 3.4%Student in an Organized Health Care Education/Training Program3.4%
Largest specialties in Washington (% of in-state providers)

Medicare quality performance — MIPS

Joshua Sands, PA-S's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

High performer (top quartile)
MIPS Final Score
88.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 88.2/100 vs national avg 83.1

0%100%National avg83%88.2%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 88.2/100 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).

Joshua Sands, PA-S appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding PA-S credentials at 4311 11TH AVE NE STE 200, Seattle, WA, 98105, with a listed phone of (206) 616-4001. NPI 1508415027 was issued on 09/06/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Sands 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 2,383 prescription claims written by this provider, covering 241 Medicare beneficiaries and totaling roughly $201K in drug spend, split 11% brand-name and 88% generic by claim count, with an opioid prescribing rate of 9.0%. 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 88.2/100 for the 2023 performance year (Quality 84, Cost 81.9), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

4311 11TH AVE NE STE 200
Seattle, WA 98105
(206) 616-4001

Provider Details

NPI 1508415027
Specialty Student in an Organized Health Care Education/Training Program
Credentials PA-S
Gender Male
NPI Issued 09/06/2019

CMS Quality Score (MIPS)

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

88.1668
Final Score
Avg: 83.1
84.0217
Quality
81.8604
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Joshua Sands, PA-S 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.

Oak Harbor Primary Care PLLC
Oak Harbor, WA

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 Joshua Sands, PA-S. Source: openpaymentsdata.cms.gov.

Total received

$20

Largest payer

Novo Nordisk 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.

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to Joshua Sands, PA-S. To verify Joshua Sands, PA-S's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Joshua Sands, PA-S — brand share 11.0%
Student in an Organized Health Care Education/Training Program average

11% brand-name claims vs 88% generic, on 2,383 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.

2,383
Total Claims
$201K
Total Drug Cost
241
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,812
Total Day Supply
139,609
Brand vs Generic
11% brand / 88% generic
Brand Drug Cost
$154K
Generic Drug Cost
$46K
Opioid Claims
214 (9.0% rate)
Antibiotic Claims
41

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
0.97
Gender Split
44% female / 56% male
Age Distribution
<65: 18, 65-74: 127, 75-84: 76, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

What Joshua Sands, PA-S 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
Atorvastatin Calcium
 109
Losartan Potassium
 107
Amlodipine Besylate
 100
Gabapentin
 98
Lisinopril
 95
Metformin Hcl
 89
Hydrochlorothiazide
 82
Levothyroxine Sodium
 78
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
68
Trazodone Hcl
 58

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

More Student in an Organized Health Care Education/Training Program in WA → All providers in Washington → Compare specialties →

Student in an Organized Health Care Education/Training Program Overview

How Joshua Sands, PA-S fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

Joshua Sands, PA-S's 2,383 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Washington

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

Dr. Justin Abadejos
DO
Seattle, WA
Carmen Abbe
Burien, WA
Dr. James Abbey
M.D.
Anacortes, WA
Laura Abbey
Spokane, WA
Arthuro Abbido
Chelan Falls, WA

Compare Student in an Organized Health Care Education/Training Program 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 Washington medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Student in an Organized Health Care Education/Training Program 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 Joshua Sands, PA-S's specialty? ▼
Joshua Sands, PA-S specializes in Student in an Organized Health Care Education/Training Program and practices in Seattle, Washington. Credentials: PA-S.
How much does Joshua Sands, PA-S prescribe under Medicare Part D? ▼
In 2023, Joshua Sands, PA-S wrote 2,383 Medicare Part D claims totaling $201K in drug costs for 241 beneficiaries.
What is Joshua Sands, PA-S's Medicare quality score? ▼
Joshua Sands, PA-S has a CMS MIPS Final Score of 88.2/100 (Quality: 84, Cost: 81.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joshua Sands, PA-S located? ▼
Joshua Sands, PA-S is located at 4311 11TH AVE NE STE 200, Seattle, WA, 98105. Phone: (206) 616-4001.
What is Joshua Sands, PA-S's NPI number? ▼
Joshua Sands, PA-S's National Provider Identifier (NPI) is 1508415027, issued on 09/06/2019.
Does Joshua Sands, PA-S prescribe more brand-name or generic drugs? ▼
Joshua Sands, PA-S's prescribing is 11% brand-name and 88% generic drugs by claim count, with $154K in brand drug costs.
Does Joshua Sands, PA-S prescribe opioids? ▼
Yes, Joshua Sands, PA-S had 214 opioid claims in 2023 with an opioid prescribing rate of 9.0%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Joshua Sands, PA-S prescribe most often? ▼
Based on 2023 Medicare Part D data, Joshua Sands, PA-S's most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joshua Sands, PA-S accept Medicare? ▼
Joshua Sands, PA-S appears in CMS Medicare data with 2,383 Part D claims and 241 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joshua Sands, PA-S's credentials? ▼
Joshua Sands, PA-S's NPI is 1508415027 with credentials PA-S. 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

Compiled from official public sources by the PlainDoctor editorial team.