NPPES file of Aug 9, 2026

Soni S. Carlton, M.D.

Dermatology Physician · Lynchburg, VA

Soni S. Carlton, M.D. is a dermatology physician with a practice address in Lynchburg, Virginia, and NPI 1952356818, issued on May 22, 2006. Check the license (Virginia 01011232721, 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
1952356818
Name
Soni S. Carlton
Credential
M.D.
Primary taxonomy
Dermatology Physician 207N00000X
License number
01011232721 VA
Self-reported in NPPES; status is on the state search
Practice location
1330 Oak LN, Lynchburg, VA 24503
Phone
(434) 847-6132
Enumerated
May 22, 2006
Record last updated
Oct 26, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(434) 845-4870
Medicaid ID
5902339 VA
Medicare enrollment
Enrolled (PECOS I20101028001379); accepts Medicare assignment
Medical or professional school
University Of Texas Medical School At Houston, 1998
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 1330 Oak LN

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

  1. Margaret Alexander, M.D.Diagnostic Radiology Physician1982601761
  2. Deborah Cox, MSAudiologist1285616441
  3. Carol Darrah, M.D.Diagnostic Radiology Physician1609874619
  4. Clyde Guthrow, Jr., M.D.Specialist1619996741
  5. Simon Hatin, M.D.Plastic Surgery Physician1215960331
  6. Janet Hickman, M.D.Dermatology Physician1740234756

Verify Soni S. Carlton 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 01011232721
    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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36% fewer Medicare Part D claims than the average dermatology physician in 2024

512 Medicare Part D claims for 250 beneficiaries, against an average of 797 among the 12,802 providers of this specialty who prescribed in Part D.

  1. Soni Carlton512
  2. Specialty average797

Most prescribed

  1. Ketoconazole116 claims
  2. Triamcinolone Acetonide44 claims
  3. Metronidazole41 claims
  4. Minoxidil40 claims
  5. Hydrocortisone28 claims
  6. Clobetasol Propionate24 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 practice group's MIPS final score for 2023 (Medicare payment program): 88.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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 score83.6
  2. Costout of 100 · 30%86.2
  3. Promoting interoperabilityout of 100 · 25%89.0
  4. Improvement activities40 of 40 points · 15%100.0

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

Industry payments in 2024: $411.14

19 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 10,250 providers of this specialty with any payment received $8,544.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Soni Carlton$411.14
  2. Specialty average$8,544.61

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. Dermatology Consultants IncLynchburg, VA

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

Soni S. Carlton among 422 dermatology physician records in Virginia

Soni S. Carlton, M.D. is one of 422 dermatology physician records with a practice address in Virginia. 83% 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 10% of them.

  • NPI issued2006 · 10% of these records are older, 57% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated1998 · median 2007 among the 311 with a school on file
  • Record last updated2007 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207N00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Dermatology Physician providers in Virginia

There are 422 dermatology physician records in Virginia.

The 8 dermatology physician records with the nearest ZIP codes

  1. Janet Hickman, M.D.Lynchburg, VA 245031740234756
  2. Alexandra Hickman, MDLynchburg, VA 245031285139857
  3. Kappa Peddy, M.D.Lynchburg, VA 245031558315481
  4. Garrett Bohrnstedt, D.O.Lynchburg, VA 245021699904052
  5. Samantha Hill, MDLynchburg, VA 245021689875445
  6. Stuart Brust, MDLynchburg, VA 245011528039260
  7. Carrie Cobb, M.D.Lynchburg, VA 245011770732232
  8. Grace Newton, M.D.Lynchburg, VA 245011568478972

Common questions

What is Soni S. Carlton, M.D.'s NPI number?

Soni S. Carlton, M.D.'s National Provider Identifier (NPI) is 1952356818, issued on May 22, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Soni S. Carlton, M.D. located?

The NPPES record lists a practice address at 1330 Oak LN, Lynchburg, VA, 24503. Phone: (434) 847-6132. Providers update this record themselves, so call before visiting.

How can I verify Soni S. Carlton, M.D.'s license?

NPPES lists Virginia license number 01011232721, 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 Soni S. Carlton, M.D. prescribe under Medicare Part D?

In 2024, Soni S. Carlton, M.D. had 512 Medicare Part D claims for 250 beneficiaries; the average among dermatology physician prescribers was 797. Part D covers Medicare prescriptions only.

What is Soni S. Carlton, M.D.'s MIPS final score?

The 2023 MIPS final score is 88.2 of 100, reported for the practice group. 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.