2026 NPPES data Medical Physician Assistant NPI 1639642077 PA-C
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SOPHIA FERNANDES, PA-C

Medical Physician Assistant in WORCESTER, Massachusetts. 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
269
Medicare Part D claims · 143 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.7677/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$28.93
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SOPHIA FERNANDES, PA-C reported a CMS MIPS final score of 90.7677/100 — above the 83.1 national average — and filed 269 Medicare Part D claims in 2023.

90.7677/100
MIPS score · +8 vs avg
269
Part D claims, 2023
86%
generic prescribing
$28.93
industry payments (Sunshine Act)

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.

SOPHIA FERNANDES, PA-C's MIPS score vs every scored U.S. clinician

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

91 Top 40% higher than 60% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

What does the federal data show about SOPHIA FERNANDES, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 01/08/2019

NPI 1639642077

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

269 75% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

90.7677/100 7.667700000000011% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Medical Physician Assistant compares to other specialties among Massachusetts providers

Massachusetts providers

Medical Physician Assistant share within Massachusetts

1. Medical Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Physician Assistant share within Massachusetts

Medicare quality performance — MIPS

SOPHIA FERNANDES, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
90.7677/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 90.7677/100 vs national avg 83.1

0%100%National avg83%90.8%
MIPS final score (Medical Physician Assistant) — 90.7677/100 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).

SOPHIA FERNANDES, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 55 LAKE AVE N, WORCESTER, MA, 01655, with a listed phone of (508) 334-4161. NPI 1639642077 was issued on 01/08/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FERNANDES 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 269 prescription claims written by this provider, covering 143 Medicare beneficiaries and totaling roughly $15K in drug spend, split 14% brand-name and 86% 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 90.7677/100 for the 2023 performance year (Quality 77.0225, Cost 91.3861), compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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

55 LAKE AVE N
WORCESTER, MA 01655

Provider Details

NPI 1639642077
Specialty Medical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 01/08/2019

CMS Quality Score (MIPS)

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

90.7677
Final Score
Avg: 83.1
77.0225
Quality
91.3861
Cost
93
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SOPHIA FERNANDES, PA-C 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.

EAR NOSE AND THROAT SURGEONS OF WESTERN NEW ENGLAND LLC
SPRINGFIELD, MA
UMASS MEMORIAL MEDICAL GROUP INC
WORCESTER, MA

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 SOPHIA FERNANDES, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$29

Largest payer

GENZYME CORPORATION

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to SOPHIA FERNANDES, PA-C. To verify SOPHIA FERNANDES, PA-C's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

SOPHIA FERNANDES, PA-C — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 269 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.

269
Total Claims
$15K
Total Drug Cost
143
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
357
Total Day Supply
8,405
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$6K
Generic Drug Cost
$9K
Antibiotic Claims
21

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
1.45
Gender Split
59% female / 41% male
Age Distribution
<65: 40, 65-74: 48, 75-84: 33, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

What SOPHIA FERNANDES, PA-C 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
Fluticasone Propionate
40
Azelastine Hcl
37
Ipratropium Bromide
30
Ciprofloxacin-Dexamethasone
Ciprofloxacin Hcl/Dexameth
29
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
27
Clotrimazole
15

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

Medical Physician Assistant Overview

How SOPHIA FERNANDES, PA-C fits within the Medical Physician Assistant landscape nationally.

40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

SOPHIA FERNANDES, PA-C's 269 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Massachusetts

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

Compare Medical Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is SOPHIA FERNANDES, PA-C's specialty?
SOPHIA FERNANDES, PA-C specializes in Medical Physician Assistant and practices in WORCESTER, Massachusetts. Credentials: PA-C.
How much does SOPHIA FERNANDES, PA-C prescribe under Medicare Part D?
In 2023, SOPHIA FERNANDES, PA-C wrote 269 Medicare Part D claims totaling $15K in drug costs for 143 beneficiaries.
What is SOPHIA FERNANDES, PA-C's Medicare quality score?
SOPHIA FERNANDES, PA-C has a CMS MIPS Final Score of 90.7677/100 (Quality: 77.0225, Cost: 91.3861). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SOPHIA FERNANDES, PA-C located?
SOPHIA FERNANDES, PA-C is located at 55 LAKE AVE N, WORCESTER, MA, 01655. Phone: (508) 334-4161.
What is SOPHIA FERNANDES, PA-C's NPI number?
SOPHIA FERNANDES, PA-C's National Provider Identifier (NPI) is 1639642077, issued on 01/08/2019.
Does SOPHIA FERNANDES, PA-C prescribe more brand-name or generic drugs?
SOPHIA FERNANDES, PA-C's prescribing is 14% brand-name and 86% generic drugs by claim count, with $6K in brand drug costs.
How many Medical Physician Assistant providers are there in the US?
There are 40,527 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does SOPHIA FERNANDES, PA-C prescribe most often?
Based on 2023 Medicare Part D data, SOPHIA FERNANDES, PA-C's most frequently prescribed drugs include Fluticasone Propionate, Azelastine Hcl, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SOPHIA FERNANDES, PA-C accept Medicare?
SOPHIA FERNANDES, PA-C appears in CMS Medicare data with 269 Part D claims and 143 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SOPHIA FERNANDES, PA-C's credentials?
SOPHIA FERNANDES, PA-C's NPI is 1639642077 with credentials PA-C. 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