2026 NPPES data Pediatrics Physician NPI 1114414729 MD
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SOPHIE AUSTIN, MD

Pediatrics Physician in ARDEN, 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
2K
Medicare Part D claims · 292 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.5111/100
▲ 10 pts above national avg 83.1 · [object Object]
What the federal data reveals: SOPHIE AUSTIN, MD is a Pediatrics Physician ([object Object]) practicing in ARDEN, North Carolina with a Medicare Part D prescribing footprint of 2K claims across 292 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 93.5111/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: SOPHIE AUSTIN, MD reported a CMS MIPS final score of 93.5111 out of 100, above the 83.1 national average, and filed 1,862 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

SOPHIE AUSTIN, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/18/2018

NPI 1114414729

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

1,862 144% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

93.5111/100 10.411100000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Pediatrics Physician compares to other specialties among North Carolina providers

North Carolina providers

Pediatrics Physician share within North Carolina

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within North Carolina

Medicare quality performance — MIPS

SOPHIE AUSTIN, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average

High performer (top quartile)
MIPS Final Score
93.5111/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 93.5111/100 vs national avg 83.1

0%100%National avg83%93.5%
MIPS final score (Pediatrics Physician) — 93.5111/100 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).

SOPHIE AUSTIN, MD is a Pediatrics Physician provider practicing in ARDEN, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1114414729. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AUSTIN 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 1,862 prescription claims written by this provider, covering 292 Medicare beneficiaries and totaling roughly $189K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.2%. 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 93.5111/100 for the 2023 performance year (Quality 84.2392), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 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

2775 HENDERSONVILLE RD
ARDEN, NC 28704

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%
Specialty average (est.)

13% brand-name claims vs 87% 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 / 87% 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.

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.

80,574
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.

Compare Pediatrics Physician nationally: see state-by-state distribution →

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 93.5111/100 (Quality: 84.2392). 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 87% 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 80,574 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

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