2026 NPPES data Sleep Medicine (Family Medicine) Physician NPI 1770877094 M.D
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REUBEN WALIA, M.D

Sleep Medicine (Family Medicine) Physician in BELLEVUE, Washington. 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
658
Medicare Part D claims · 178 beneficiaries · Sleep Medicine (Family Medicine) Physician avg: 2K
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.168/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$915.6
19 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

REUBEN WALIA, M.D reported a CMS MIPS final score of 79.168/100 — below the 83.1 national average — and filed 658 Medicare Part D claims in 2023.

79.168/100
MIPS score · -4 vs avg
658
Part D claims, 2023
98%
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.

REUBEN WALIA, 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

79 30th percentile higher than 30% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

REUBEN WALIA, 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 REUBEN WALIA, M.D?

Near national average

NPI registry status

Active

Issued 06/03/2011

NPI 1770877094

Primary specialty

Sleep Medicine (Family Medicine) Physician

Rare

190 US NPIs in this specialty

Medicare Part D claims

658 56% vs specialty avg

2023 prescription claims

Specialty avg: 1,506

MIPS final score

79.168/100 3.931999999999988% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Sleep Medicine (Family Medicine) Physician compares to other specialties among Washington providers

Washington providers

Sleep Medicine (Family Medicine) Physician share within Washington

1. Sleep Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Family Medicine) Physician share within Washington

Medicare quality performance — MIPS

REUBEN WALIA, M.D's 2023 MIPS final score plotted against the Sleep Medicine (Family Medicine) Physician national average

Near national average
MIPS Final Score
79.168/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Family Medicine) Physician) — 79.168/100 vs national avg 83.1

0%100%National avg83%79.2%
MIPS final score (Sleep Medicine (Family Medicine) Physician) — 79.168/100 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).

REUBEN WALIA, M.D appears in the CMS NPPES registry as a Sleep Medicine (Family Medicine) Physician provider holding M.D credentials at 1100 112TH AVE NE STE 320, BELLEVUE, WA, 98004, with a listed phone of (425) 289-3000. NPI 1770877094 was issued on 06/03/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WALIA 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 658 prescription claims written by this provider, covering 178 Medicare beneficiaries and totaling roughly $35K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 3.5%. 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 79.168/100 for the 2023 performance year (Quality 74.5323, Cost 56.0276), compared with the national average of 83.1.

Sleep Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 190 enrolled providers across 45 states and an average of 1,506 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

1100 112TH AVE NE STE 320
BELLEVUE, WA 98004

Provider Details

NPI 1770877094
Specialty Sleep Medicine (Family Medicine) Physician
Credentials M.D
Gender Male
NPI Issued 06/03/2011

CMS Quality Score (MIPS)

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

79.168
Final Score
Avg: 83.1
74.5323
Quality
56.0276
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where REUBEN WALIA, 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.

OVERLAKE MEDICAL CLINICS LLC
BELLEVUE, 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 REUBEN WALIA, M.D. Source: openpaymentsdata.cms.gov.

Total received

$916

Largest payer

JAZZ PHARMACEUTICALS 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 REUBEN WALIA, M.D. To verify REUBEN WALIA, M.D'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 · Generic-heavy

REUBEN WALIA, M.D — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 658 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.

658
Total Claims
$35K
Total Drug Cost
178
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,341
Total Day Supply
39,771
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$17K
Generic Drug Cost
$18K
Opioid Claims
23 (3.5% rate)

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.21
Gender Split
51% female / 49% male

Top Prescribed Drugs (Medicare Part D)

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

What REUBEN WALIA, 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
Gabapentin
196
Pramipexole Dihydrochloride
Pramipexole Di-Hcl
99
Zolpidem Tartrate
70
Trazodone Hcl
62
Clonazepam
32
Methadone Hcl
23
Modafinil
19
Eszopiclone
18
Ropinirole Hcl
17
Armodafinil
12

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

Sleep Medicine (Family Medicine) Physician Overview

How REUBEN WALIA, M.D fits within the Sleep Medicine (Family Medicine) Physician landscape nationally.

190
Sleep Medicine (Family Medicine) Physician Providers in US
45
States with Sleep Medicine (Family Medicine) Physician
1,506
Avg Claims per Provider

REUBEN WALIA, M.D's 658 claims are below the specialty average of 1,506.

Nearby Sleep Medicine (Family Medicine) Physician Providers in Washington

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

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

Frequently Asked Questions

What is REUBEN WALIA, M.D's specialty?
REUBEN WALIA, M.D specializes in Sleep Medicine (Family Medicine) Physician and practices in BELLEVUE, Washington. Credentials: M.D.
How much does REUBEN WALIA, M.D prescribe under Medicare Part D?
In 2023, REUBEN WALIA, M.D wrote 658 Medicare Part D claims totaling $35K in drug costs for 178 beneficiaries.
What is REUBEN WALIA, M.D's Medicare quality score?
REUBEN WALIA, M.D has a CMS MIPS Final Score of 79.168/100 (Quality: 74.5323, Cost: 56.0276). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is REUBEN WALIA, M.D located?
REUBEN WALIA, M.D is located at 1100 112TH AVE NE STE 320, BELLEVUE, WA, 98004. Phone: (425) 289-3000.
What is REUBEN WALIA, M.D's NPI number?
REUBEN WALIA, M.D's National Provider Identifier (NPI) is 1770877094, issued on 06/03/2011.
Does REUBEN WALIA, M.D prescribe more brand-name or generic drugs?
REUBEN WALIA, M.D's prescribing is 2% brand-name and 98% generic drugs by claim count, with $17K in brand drug costs.
Does REUBEN WALIA, M.D prescribe opioids?
Yes, REUBEN WALIA, M.D had 23 opioid claims in 2023 with an opioid prescribing rate of 3.5%.
How many Sleep Medicine (Family Medicine) Physician providers are there in the US?
There are 190 Sleep Medicine (Family Medicine) Physician providers across 45 states in the US. The average Sleep Medicine (Family Medicine) Physician provider writes 1,506 Medicare Part D claims per year.
What drugs does REUBEN WALIA, M.D prescribe most often?
Based on 2023 Medicare Part D data, REUBEN WALIA, M.D's most frequently prescribed drugs include Gabapentin, Pramipexole Dihydrochloride, Zolpidem Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does REUBEN WALIA, M.D accept Medicare?
REUBEN WALIA, M.D appears in CMS Medicare data with 658 Part D claims and 178 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify REUBEN WALIA, M.D's credentials?
REUBEN WALIA, M.D's NPI is 1770877094 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