2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1013594316 MD
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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.

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
307
Medicare Part D claims · 24 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs

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

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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 reported

NPI registry status

Active

Issued 03/24/2021

NPI 1013594316

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

307 33% vs specialty avg

2023 prescription claims

Specialty avg: 459

Specialty distribution in North Carolina

How Student in an Organized Health Care Education/Training Program compares to other specialties among North Carolina providers

North Carolina providers

Student in an Organized Health Care Education/Training Program share within North Carolina

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Student in an Organized Health Care Education/Training Program (ABMS / AOA reference)

Quality data not reported
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

0%100%78%
Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — 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).

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

125 HENDERSONVILLE RD
Asheville, NC 28803

Provider Details

NPI 1013594316
Specialty Student in an Organized Health Care Education/Training Program
Credentials MD
Gender Female
NPI Issued 03/24/2021

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.

Mission Health Community Multispecialty Providers LLC
Asheville, 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).

Brand vs generic prescribing mix · Generic-heavy

Sonia Koul, MD — brand share 8.0%
Specialty average (est.)

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.

307
Total Claims
$100K
Total Drug Cost
24
Medicare Beneficiaries

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

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.

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

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.

Frequently Asked Questions

What is Sonia Koul, MD's specialty?
Sonia Koul, MD specializes in Student in an Organized Health Care Education/Training Program and practices in Asheville, North Carolina. Credentials: MD.
How much does Sonia Koul, MD prescribe under Medicare Part D?
In 2023, Sonia Koul, MD wrote 307 Medicare Part D claims totaling $100K in drug costs for 24 beneficiaries.
Where is Sonia Koul, MD located?
Sonia Koul, MD is located at 125 HENDERSONVILLE RD, Asheville, NC, 28803. Phone: (828) 398-3601.
What is Sonia Koul, MD's NPI number?
Sonia Koul, MD's National Provider Identifier (NPI) is 1013594316, issued on 03/24/2021.
Does Sonia Koul, MD prescribe more brand-name or generic drugs?
Sonia Koul, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $81K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Sonia Koul, MD prescribe most often?
Based on 2023 Medicare Part D data, Sonia Koul, MD's most frequently prescribed drugs include Quetiapine Fumarate, Gabapentin, Lithium Carbonate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sonia Koul, MD accept Medicare?
Sonia Koul, MD appears in CMS Medicare data with 307 Part D claims and 24 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sonia Koul, MD's credentials?
Sonia Koul, MD's NPI is 1013594316 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