2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1689655946
Verify on CMS →

SONIA TALWAR

Endocrinology, Diabetes & Metabolism Physician in PLAINVIEW, New York. 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
8K
Medicare Part D claims · 826 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
56%
generic claims · 44% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.2516/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$1.5K
73 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SONIA TALWAR reported a CMS MIPS final score of 85.2516/100 — above the 83.1 national average — and filed 7,943 Medicare Part D claims in 2023.

85.2516/100
MIPS score · +2 vs avg
8K
Part D claims, 2023
56%
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.

SONIA TALWAR's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

85 49th percentile higher than 49% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

SONIA TALWAR practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 SONIA TALWAR?

High performer (top quartile)

NPI registry status

Active

Issued 11/11/2005

NPI 1689655946

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,852 US NPIs in this specialty

Medicare Part D claims

7,943 201% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

MIPS final score

85.2516/100 2.151600000000002% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among New York providers

New York providers

Endocrinology, Diabetes & Metabolism Physician share within New York

1. Endocrinology, Diabetes & Metabolism Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Endocrinology, Diabetes & Metabolism Physician share within New York

Medicare quality performance — MIPS

SONIA TALWAR's 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average

High performer (top quartile)
MIPS Final Score
85.2516/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 85.2516/100 vs national avg 83.1

0%100%National avg83%85.3%
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 85.2516/100 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).

SONIA TALWAR appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider at 1097 OLD COUNTRY RD, PLAINVIEW, NY, 11803, with a listed phone of (516) 931-1007. NPI 1689655946 was issued on 11/11/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TALWAR 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 7,943 prescription claims written by this provider, covering 826 Medicare beneficiaries and totaling roughly $4.3 million in drug spend, split 44% brand-name and 56% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.2516/100 for the 2023 performance year (Quality 99.9112, Cost 50.9274), compared with the national average of 83.1.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 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

1097 OLD COUNTRY RD
PLAINVIEW, NY 11803

Provider Details

NPI 1689655946
Specialty Endocrinology, Diabetes & Metabolism Physician
Gender Female
NPI Issued 11/11/2005

CMS Quality Score (MIPS)

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

85.2516
Final Score
Avg: 83.1
99.9112
Quality
50.9274
Cost
100
Promoting Interoperability

Reporting: Individual

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 SONIA TALWAR. Source: openpaymentsdata.cms.gov.

Total received

$1.5K

Largest payer

Novo Nordisk 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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to SONIA TALWAR. To verify SONIA TALWAR's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

SONIA TALWAR — brand share 44.0%
Specialty average (est.)

44% brand-name claims vs 56% generic, on 7,943 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.

7,943
Total Claims
$4.3M
Total Drug Cost
826
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
20,108
Total Day Supply
599,679
Brand vs Generic
44% brand / 56% generic
Brand Drug Cost
$4.1M
Generic Drug Cost
$112K
Antibiotic Claims
22

Patient Demographics

Average Patient Age
73.6 years
Avg HCC Risk Score
1.25
Gender Split
70% female / 30% male
Age Distribution
<65: 57, 65-74: 404, 75-84: 288, 85+: 77

Top Prescribed Drugs (Medicare Part D)

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

What SONIA TALWAR 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
Levothyroxine Sodium
1,057
Ozempic
Semaglutide
599
Synthroid
Levothyroxine Sodium
339
Jardiance
Empagliflozin
329
Metformin Hcl Er
Metformin Hcl
308
Metformin Hcl
288
Rosuvastatin Calcium
280
Atorvastatin Calcium
274
Glimepiride
193
Amlodipine Besylate
191

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

Endocrinology, Diabetes & Metabolism Physician Overview

How SONIA TALWAR fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

SONIA TALWAR's 7,943 claims are above the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as TALWAR.

Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SONIA TALWAR's specialty?
SONIA TALWAR specializes in Endocrinology, Diabetes & Metabolism Physician and practices in PLAINVIEW, New York.
How much does SONIA TALWAR prescribe under Medicare Part D?
In 2023, SONIA TALWAR wrote 7,943 Medicare Part D claims totaling $4.3M in drug costs for 826 beneficiaries.
What is SONIA TALWAR's Medicare quality score?
SONIA TALWAR has a CMS MIPS Final Score of 85.2516/100 (Quality: 99.9112, Cost: 50.9274). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SONIA TALWAR located?
SONIA TALWAR is located at 1097 OLD COUNTRY RD, PLAINVIEW, NY, 11803. Phone: (516) 931-1007.
What is SONIA TALWAR's NPI number?
SONIA TALWAR's National Provider Identifier (NPI) is 1689655946, issued on 11/11/2005.
Does SONIA TALWAR prescribe more brand-name or generic drugs?
SONIA TALWAR's prescribing is 44% brand-name and 56% generic drugs by claim count, with $4.1M in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does SONIA TALWAR prescribe most often?
Based on 2023 Medicare Part D data, SONIA TALWAR's most frequently prescribed drugs include Levothyroxine Sodium, Ozempic, Synthroid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SONIA TALWAR accept Medicare?
SONIA TALWAR appears in CMS Medicare data with 7,943 Part D claims and 826 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SONIA TALWAR's credentials?
SONIA TALWAR's NPI is 1689655946. 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