NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1114414729 MD
Verify on CMS → Sophie Austin, MD
Pediatrics Physician in Arden, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,576 in Pediatrics 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
2K
Medicare Part D claims · 292 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
86%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.5/100
▲ 10 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sophie Austin, MD reported a CMS MIPS final score of 93.5/100 - above the 83.1 national average - and filed 1,862 Medicare Part D claims in 2023.
- 93.5/100
- MIPS score · +10 vs avg
- 2K
- Part D claims, 2023
- 86%
- 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.
Sophie Austin, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 29% higher than 71% of 477,587 scored providers
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
Where Sophie Austin, MD sits
This provider among pediatrics physician peers
Across the 1,120 pediatrics physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sophie Austin, MD writes more Part D claims than 81% of them and scores higher on MIPS quality than 68% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pediatrics physician peer from a representative sample of 60; the gold marker is Sophie Austin, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sophie Austin, 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 Sophie Austin, MD?
High performer (top quartile)Primary specialty
Pediatrics Physician
Medicare Part D claims
1,862 144% vs specialty avg
MIPS final score
93.5/100 10.4 pts vs avg
Specialty distribution in North Carolina
How Pediatrics Physician compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
Sophie Austin, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average
- MIPS Final Score
- 93.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatrics Physician) - 93.5/100 vs national avg 83.1
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).
Sophie Austin, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 2775 HENDERSONVILLE RD, Arden, NC, 28704, with a listed phone of (828) 694-8900. NPI 1114414729 was issued on 04/18/2018.
Medicare Part D records for calendar year 2023 show 1,862 prescription claims written by this provider, covering 292 Medicare beneficiaries and totaling roughly $189K in drug spend, split 13% brand-name and 86% generic by claim count, with an opioid prescribing rate of 2.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.5/100 for the 2023 performance year (Quality 84.2), compared with the national average of 83.1.
Pediatrics Physician is a high-volume specialty nationwide, with 80,576 enrolled providers across 56 states and an average of 762 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 | 1114414729 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 04/18/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
93.5111
Final Score
Avg: 83.1
84.2392
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Sophie Austin, 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.
Carolina Physical Therapy Associates LLC
Hendersonville, NC
Henderson County Hospital Corporation
Arden, 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 · Typical
Sophie Austin, MD - brand share 13.0%
Pediatrics Physician average
13% brand-name claims vs 86% generic, on 1,862 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.
1,862
Total Claims
$189K
Total Drug Cost
292
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,738
- Total Day Supply
- 105,825
- Brand vs Generic
- 13% brand / 86% generic
- Brand Drug Cost
- $158K
- Generic Drug Cost
- $30K
- Opioid Claims
- 41 (2.2% rate)
- Antibiotic Claims
- 68
Patient Demographics
- Average Patient Age
- 70.3 years
- Avg HCC Risk Score
- 1.30
- Gender Split
- 72% female / 28% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sophie Austin, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
81 claims
- Atorvastatin Calcium
Atorvastatin Calcium
71 claims
- Losartan Potassium
Losartan Potassium
68 claims
- Amlodipine Besylate
Amlodipine Besylate
64 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
56 claims
- Alprazolam
Alprazolam
45 claims
- Lisinopril
Lisinopril
44 claims
- Omeprazole
Omeprazole
43 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 81 |
| Atorvastatin Calcium | 71 |
| Losartan Potassium | 68 |
| Amlodipine Besylate | 64 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 56 |
| Alprazolam | 45 |
| Lisinopril | 44 |
| Omeprazole | 43 |
| Metoprolol Succinate | 39 |
| Gabapentin | 38 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How Sophie Austin, MD fits within the Pediatrics Physician landscape nationally.
80,576
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider
Sophie Austin, MD's 1,862 claims are above the specialty average of 762.
Nearby Pediatrics Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Austin.
Dr. Kristi Abbott
M.D.
Mooresville, NC
Dr. Ihab Abdel-Khalek
M.D.
Clayton, NC
Dr. Geoffrey Abell
MD
Statesville, NC
Dr. James Abell
MD
Statesville, NC
Dr. Raid Abo-Kamil
M.D.
Edenton, NC
Compare Pediatrics Physician 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 Pediatrics Physician 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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Explore North Carolina
Frequently Asked Questions
What is Sophie Austin, MD's specialty? ▼
Sophie Austin, MD specializes in Pediatrics Physician and practices in Arden, North Carolina. Credentials: MD.
How much does Sophie Austin, MD prescribe under Medicare Part D? ▼
In 2023, Sophie Austin, MD wrote 1,862 Medicare Part D claims totaling $189K in drug costs for 292 beneficiaries.
What is Sophie Austin, MD's Medicare quality score? ▼
Sophie Austin, MD has a CMS MIPS Final Score of 93.5/100 (Quality: 84.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sophie Austin, MD located? ▼
Sophie Austin, MD is located at 2775 HENDERSONVILLE RD, Arden, NC, 28704. Phone: (828) 694-8900.
What is Sophie Austin, MD's NPI number? ▼
Sophie Austin, MD's National Provider Identifier (NPI) is 1114414729, issued on 04/18/2018.
Does Sophie Austin, MD prescribe more brand-name or generic drugs? ▼
Sophie Austin, MD's prescribing is 13% brand-name and 86% generic drugs by claim count, with $158K in brand drug costs.
Does Sophie Austin, MD prescribe opioids? ▼
Yes, Sophie Austin, MD had 41 opioid claims in 2023 with an opioid prescribing rate of 2.2%.
How many Pediatrics Physician providers are there in the US? ▼
There are 80,576 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does Sophie Austin, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sophie Austin, MD's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sophie Austin, MD accept Medicare? ▼
Sophie Austin, MD appears in CMS Medicare data with 1,862 Part D claims and 292 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sophie Austin, MD's credentials? ▼
Sophie Austin, MD's NPI is 1114414729 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
Compiled from official public sources by the PlainDoctor editorial team.
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.