2026 NPPES data Family Medicine Physician NPI 1225484553 MD
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MEGAN ARBOLEDA, MD

Family Medicine Physician in ELKIN, North Carolina. 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
388
Medicare Part D claims · 60 beneficiaries · Family Medicine Physician avg: 3K
Industry payments
$234.03
11 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MEGAN ARBOLEDA, MD is a Family Medicine Physician ([object Object]) practicing in ELKIN, North Carolina with a Medicare Part D prescribing footprint of 388 claims across 60 beneficiaries . Industry payments of $234.03 across 11 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MEGAN ARBOLEDA, MD filed 388 Medicare Part D claims in 2023 across ELKIN, North Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MEGAN ARBOLEDA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MEGAN ARBOLEDA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/05/2016

NPI 1225484553

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

388 89% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in North Carolina

How Family Medicine Physician compares to other specialties among North Carolina providers

North Carolina providers

Family Medicine Physician share within North Carolina

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

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).

MEGAN ARBOLEDA, MD is a Family Medicine Physician provider practicing in ELKIN, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1225484553. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MEGAN ARBOLEDA, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 680 PARKWOOD MEDICAL PARK, ELKIN, NC, 28621, with a listed phone of (336) 527-8359. NPI 1225484553 was issued on 05/05/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARBOLEDA 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 388 prescription claims written by this provider, covering 60 Medicare beneficiaries and totaling roughly $61K in drug spend, with an opioid prescribing rate of 2.8%. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 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

680 PARKWOOD MEDICAL PARK
ELKIN, NC 28621

Provider Details

NPI 1225484553
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 05/05/2016

Hospital and facility affiliations

Facilities where MEGAN ARBOLEDA, 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.

HUGH CHATHAM MEMORIAL HOSPITAL INC
ELKIN, NC

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 MEGAN ARBOLEDA, MD. Source: openpaymentsdata.cms.gov.

Total received

$234

Largest payer

Astellas Pharma US 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

388
Total Claims
$61K
Total Drug Cost
60
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
712
Total Day Supply
20,313
Generic Drug Cost
$6K
Opioid Claims
11 (2.8% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
1.68
Gender Split
77% female / 23% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metformin Hcl
17
Lisinopril
15
Amlodipine Besylate
13
Rosuvastatin Calcium
13
Atorvastatin Calcium
12
Cyclobenzaprine Hcl
11

* 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 MEGAN ARBOLEDA, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

MEGAN ARBOLEDA, MD's 388 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as ARBOLEDA.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MEGAN ARBOLEDA, MD's specialty?
MEGAN ARBOLEDA, MD specializes in Family Medicine Physician and practices in ELKIN, North Carolina. Credentials: MD.
How much does MEGAN ARBOLEDA, MD prescribe under Medicare Part D?
In 2023, MEGAN ARBOLEDA, MD wrote 388 Medicare Part D claims totaling $61K in drug costs for 60 beneficiaries.
Where is MEGAN ARBOLEDA, MD located?
MEGAN ARBOLEDA, MD is located at 680 PARKWOOD MEDICAL PARK, ELKIN, NC, 28621. Phone: (336) 527-8359.
What is MEGAN ARBOLEDA, MD's NPI number?
MEGAN ARBOLEDA, MD's National Provider Identifier (NPI) is 1225484553, issued on 05/05/2016.
Does MEGAN ARBOLEDA, MD prescribe opioids?
Yes, MEGAN ARBOLEDA, MD had 11 opioid claims in 2023 with an opioid prescribing rate of 2.8%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 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 MEGAN ARBOLEDA, MD prescribe most often?
Based on 2023 Medicare Part D data, MEGAN ARBOLEDA, MD's most frequently prescribed drugs include Metformin Hcl, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MEGAN ARBOLEDA, MD accept Medicare?
MEGAN ARBOLEDA, MD appears in CMS Medicare data with 388 Part D claims and 60 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MEGAN ARBOLEDA, MD's credentials?
MEGAN ARBOLEDA, MD's NPI is 1225484553 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

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.
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