Sonia Koul, MD
Student in an Organized Health Care Education/Training Program in Asheville, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
Sonia Koul, MD filed 307 Medicare Part D claims in 2023 as a Student in an Organized Health Care Education/Training Program in Asheville, North Carolina, prescribing 92% generic.
- 307
- Part D claims, 2023
- 92%
- generic prescribing
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.
Sonia Koul, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
307 Top 43% higher than 57% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Sonia Koul, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in North Carolina
How Student in an Organized Health Care Education/Training Program compares to other specialties among North Carolina providers
Student in an Organized Health Care Education/Training Program share within North Carolina
Student in an Organized Health Care Education/Training Program is one of the more visible NUCC categories in North Carolina
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Student in an Organized Health Care Education/Training Program (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Student in an Organized Health Care Education/Training Program ABMS/AOA estimate
Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Student in an Organized Health Care Education/Training Program US NPIs
Specialty board-certified rate — Student in an Organized Health Care Education/Training Program estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
Sonia Koul, MD appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD credentials at 125 HENDERSONVILLE RD, Asheville, NC, 28803, with a listed phone of (828) 398-3601. NPI 1013594316 was issued on 03/24/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Koul 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 307 prescription claims written by this provider, covering 24 Medicare beneficiaries and totaling roughly $100K in drug spend, split 8% brand-name and 92% generic by claim count. 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.
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
Provider Details
| NPI | 1013594316 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 03/24/2021 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Sonia Koul, MD's current license status, disciplinary history, and board certifications with the North Carolina Medical Board in North Carolina before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where Sonia Koul, 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
8% brand-name claims vs 92% generic, on 307 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.
Prescribing Breakdown
- 30-Day Fills
- 485
- Total Day Supply
- 14,047
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $81K
- Generic Drug Cost
- $19K
Patient Demographics
- Average Patient Age
- 49.0 years
- Avg HCC Risk Score
- 1.13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sonia Koul, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Quetiapine Fumarate
Quetiapine Fumarate
35 claims
- Gabapentin
Gabapentin
17 claims
- Lithium Carbonate
Lithium Carbonate
16 claims
- Lamotrigine
Lamotrigine
15 claims
- Fluoxetine Hcl
Fluoxetine Hcl
14 claims
- Hydroxyzine Hcl
Hydroxyzine Hcl
14 claims
- Buspirone Hcl 13
Buspirone Hcl
13 claims
- Clozapine 13
Clozapine
13 claims
| Drug | Claims |
|---|---|
| Quetiapine Fumarate | 35 |
| Gabapentin | 17 |
| Lithium Carbonate | 16 |
| Lamotrigine | 15 |
| Fluoxetine Hcl | 14 |
| Hydroxyzine Hcl | 14 |
| Buspirone Hcl | 13 |
| Clozapine | 13 |
| Prazosin Hcl | 13 |
| Duloxetine Hcl | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Student in an Organized Health Care Education/Training Program Overview
How Sonia Koul, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
Sonia Koul, MD's 307 claims are below the specialty average of 459.
Nearby Student in an Organized Health Care Education/Training Program Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Koul.
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 North Carolina 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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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