NPI registry status
Active
2026 NPPES data Obstetrics & Gynecology Physician NPI 1497216519 MD
Verify on CMS → Sophia Kunkle, MD
Obstetrics & Gynecology Physician in Pittsburgh, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 44,326 in Obstetrics & Gynecology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
287
Medicare Part D claims · 59 beneficiaries · Obstetrics & Gynecology Physician avg: 179
MIPS score
78.5/100
▼ 5 pts below national avg 83.5 · Above neutral
Industry payments
$9.21
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Sophia Kunkle, MD reported a CMS MIPS final score of 78.5/100 - below the 83.5 national average - and filed 287 Medicare Part D claims in 2023.
- 78.5/100
- MIPS score · -5 vs avg
- 287
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥23rd
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Sophia Kunkle, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1497216519), first enumerated 03/29/2019.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 287 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 78.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$9.21 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Sophia Kunkle, MD's individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1497216519 · Obstetrics & Gynecology Physician
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-BELOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1497216519
- ENUM-RECENT 2019
- TAX-MID 44K Obstetrics &
- MIPS-BELOW 78.5/100
- RX-LIGHT 287
- BOOK-LIGHT 1,953 in Pennsylvania
- PHOTO-FINISH Madhu Bagaria · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Kunkle · this pr…
Kunkle · this provider
78.5 MIPS pts
- Michelle Louie ·…
Michelle Louie
78.6 MIPS pts
- Madhu Bagaria · …
Madhu Bagaria
78.6 MIPS pts
- Megan Cheney · n…
Megan Cheney
78.6 MIPS pts
- Jordann-Mishael …
Jordann-Mishael Duncan
78.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Sophia Kunkle, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
79 ≥ 23rd percentile 23% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Sophia Kunkle, MD sits
This provider among obstetrics & gynecology physician peers
Across the 7,360 obstetrics & gynecology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sophia Kunkle, MD writes more Part D claims than 84% of them and scores higher on MIPS quality than 22% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one obstetrics & gynecology physician peer from a representative sample of 60; the gold marker is Sophia Kunkle, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sophia Kunkle, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Sophia Kunkle, MD?
Near national averagePrimary specialty
Obstetrics & Gynecology Physician
Medicare Part D claims
287 60% vs specialty avg
MIPS final score
78.5/100 5 pts vs avg
Specialty distribution in Pennsylvania
How Obstetrics & Gynecology Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Sophia Kunkle, MD's 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average
- MIPS Final Score
- 78.5/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1497216519 |
|---|---|
| Specialty | Obstetrics & Gynecology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 03/29/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.5339
Final Score
Measured-score avg: 83.5
74.6181
Quality
53.8283
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Sophia Kunkle, 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.
Primary Health Network
Beaver Falls, PA
Tri State Obstetrics And Gynecology
Beaver Falls, PA
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 Kunkle, MD. Source: openpaymentsdata.cms.gov.
Total received
$9
Largest payer
Organon Llc
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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Sophia Kunkle, MD. To verify Sophia Kunkle, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
287
Total Claims
$34K
Total Drug Cost
59
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 484
- Total Day Supply
- 13,369
- Generic Drug Cost
- $6K
Patient Demographics
- Average Patient Age
- 61.8 years
- Avg HCC Risk Score
- 1.22
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 26, 65-74: 25, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sophia Kunkle, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Fluticasone Propio…
Fluticasone Propionate
19 claims
- Atorvastatin Calcium
Atorvastatin Calcium
17 claims
- Amitriptyline Hcl
Amitriptyline Hcl
15 claims
- Hydroxyzine Pamoate
Hydroxyzine Pamoate
13 claims
- Lisinopril
Lisinopril
13 claims
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 19 |
| Atorvastatin Calcium | 17 |
| Amitriptyline Hcl | 15 |
| Hydroxyzine Pamoate | 13 |
| Lisinopril | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Obstetrics & Gynecology Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Obstetrics & Gynecology Physician Overview
How Sophia Kunkle, MD fits within the Obstetrics & Gynecology Physician landscape nationally.
44,326
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider
Sophia Kunkle, MD's 287 claims are above the specialty average of 179.
Nationwide Obstetrics & Gynecology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Kunkle, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (78.5 here).
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Obstetrics & Gynecology Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Kunkle.
One of 1,953 Obstetrics & Gynecology Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Nagi Abadier
MD
Reading, PA
Dr. Kristin Abbruzzi
DO
Bethlehem, PA
Dina Abdelsamad
Pittsburgh, PA
Dr. Annabelle Abdo
DO
Philadelphia, PA
Dr. Joseph Abdul-Malak
MD, MBA
Hermitage, PA
Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sophia Kunkle, MD's specialty? ▼
Sophia Kunkle, MD specializes in Obstetrics & Gynecology Physician and practices in Pittsburgh, Pennsylvania. Credentials: MD.
How much does Sophia Kunkle, MD prescribe under Medicare Part D? ▼
In 2023, Sophia Kunkle, MD wrote 287 Medicare Part D claims totaling $34K in drug costs for 59 beneficiaries.
What is Sophia Kunkle, MD's Medicare quality score? ▼
Sophia Kunkle, MD has a CMS MIPS Final Score of 78.5/100 (Quality: 74.6, Cost: 53.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sophia Kunkle, MD located? ▼
Sophia Kunkle, MD is located at 147 TOWNE SQUARE WAY, Pittsburgh, PA, 15227. Phone: (412) 942-1085.
What is Sophia Kunkle, MD's NPI number? ▼
Sophia Kunkle, MD's National Provider Identifier (NPI) is 1497216519, issued on 03/29/2019.
How many Obstetrics & Gynecology Physician providers are there in the US? ▼
There are 44,326 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does Sophia Kunkle, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sophia Kunkle, MD's most frequently prescribed drugs include Fluticasone Propionate, Atorvastatin Calcium, Amitriptyline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sophia Kunkle, MD accept Medicare? ▼
Sophia Kunkle, MD appears in CMS Medicare data with 287 Part D claims and 59 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sophia Kunkle, MD's credentials? ▼
Sophia Kunkle, MD's NPI is 1497216519 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.