NPPES file of Aug 9, 2026

Nikki Waddell, MD

Internal Medicine Physician · Alexandria, VA

Nikki Waddell, MD is an internal medicine physician with a practice address in Alexandria, Virginia, and NPI 1265456388, issued on Jul 26, 2006. Check the license (Virginia 0101239628, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1265456388
Name
Nikki Waddell
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
0101239628 VA
Self-reported in NPPES; status is on the state search
Practice location
5901 Kingstowne Village Pkwy, Alexandria, VA 22315
Phone
(571) 384-6304
Enumerated
Jul 26, 2006
Record last updated
Jul 24, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(571) 384-6309
Medicare enrollment
Enrolled (PECOS I20080512000081); accepts Medicare assignment
Medical or professional school
Brody School Of Medicine At East Carolina University, 2002
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 5901 Kingstowne Village Pkwy

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Margaux Craig, MSPTPhysical Therapist1396788790
  2. Benjamin Hopsicker, DCChiropractor1396954608
  3. Tracey PicouMental Health Counselor1891638078
  4. Reem RefaeAcupuncturist1811767056

Verify Nikki Waddell in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101239628
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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65% fewer Medicare Part D claims than the average internal medicine physician in 2024

1,099 Medicare Part D claims for 97 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.

  1. Nikki Waddell1,099
  2. Specialty average3,176

Most prescribed

  1. Rosuvastatin Calcium77 claims
  2. Levothyroxine Sodium72 claims
  3. Atorvastatin Calcium68 claims
  4. Hydrochlorothiazide67 claims
  5. Amlodipine Besylate56 claims
  6. Alendronate Sodium52 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 92.6 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.2
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $15.43

1 payment: food and beverage; the largest payer was Novo Nordisk Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Nikki Waddell$15.43
  2. Specialty average$1,303.06

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Loudoun Medical Group, PCLeesburg, VA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Nikki Waddell among 3,599 internal medicine physician records in Virginia

Nikki Waddell, MD is one of 3,599 internal medicine physician records with a practice address in Virginia. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.

  • NPI issued2006 · 9% of these records are older, 55% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated2002 · median 2003 among the 2,234 with a school on file
  • Record last updated2012 · 53% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

148 internal medicine physician records list a practice address in Alexandria

They are 148 of the 5,424 NPPES records with a practice address in Alexandria, and 3,599 internal medicine physician records in Virginia.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Tahitia Howard, MDAlexandria, VA 223151376117945
  2. Rajvinder Mann, M.D.Alexandria, VA 223151699079806
  3. David Berman, M.D.Alexandria, VA 223141942402508
  4. John Charalambopoulos, MDAlexandria, VA 223141073769659
  5. Dora Dhakal, MDAlexandria, VA 223141174051015
  6. A Heron, M.D.Alexandria, VA 223141952465395
  7. David Ho, MDAlexandria, VA 223141184711483
  8. Lorena Khouri-Popp, MDAlexandria, VA 223141386658243

Common questions

What is Nikki Waddell, MD's NPI number?

Nikki Waddell, MD's National Provider Identifier (NPI) is 1265456388, issued on Jul 26, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Nikki Waddell, MD located?

The NPPES record lists a practice address at 5901 Kingstowne Village Pkwy, Alexandria, VA, 22315. Phone: (571) 384-6304. Providers update this record themselves, so call before visiting.

How can I verify Nikki Waddell, MD's license?

NPPES lists Virginia license number 0101239628, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Nikki Waddell, MD prescribe under Medicare Part D?

In 2024, Nikki Waddell, MD had 1,099 Medicare Part D claims for 97 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Nikki Waddell, MD's MIPS final score?

The 2023 MIPS final score is 92.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.