Sophie Cai, MD
Ophthalmology Physician · Hixson, TN
Sophie Cai, MD is an ophthalmology physician with a practice address in Hixson, Tennessee, and NPI 1275914699, issued on Jun 11, 2015. Check the license (Tennessee 70249, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Sophie Cai
- Credential
- MD
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License numbers
- 70249 TN
L-263967 MA
D91503 MD
2019-00606 NC
Self-reported in NPPES; status is on the state search - Practice location
- 1961 Northpoint Blvd # 11, Hixson, TN 37343
- Phone
- (423) 756-1002
- Enumerated
- Jun 11, 2015
- Record last updated
- Nov 4, 2025
- Medicare enrollment
- Enrolled (PECOS I20240522000375); accepts Medicare assignment
- Medical or professional school
- Harvard Medical School, 2015
- Entity
- Type 1 · individual
Verify Sophie Cai in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license 70249Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
89% fewer Medicare Part D claims than the average ophthalmology physician in 2024
174 Medicare Part D claims for 56 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 22% of claims.
Most prescribed
- Ketorolac Tromethamine41 claims
- Erythromycin27 claims
- Latanoprost23 claims
- Prednisolone Acetate19 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Southeastern Retina Associates PCDalton, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ophthalmology Physician providers in Tennessee
There are 366 ophthalmology physician records in Tennessee.
Other ophthalmology physician records in Tennessee
- Brent Aebi, M.D.Bristol, TN1902291859
- Khandaker AhadMurfreesboro, TN1346350527
- Harold Akin, MDMurfreesboro, TN1386736494
- Nancy Alison, M.D.Johnson City, TN1679566962
- Mitchell Allphin, MDNashville, TN1295313138
- Paul Ambrose, M.D.Knoxville, TN1316949613
- Steven Anderson, M.D.Chattanooga, TN1295732063
- Charles Ange, M.D.Knoxville, TN1952370843
- Christopher Areephanthu, M.D.Pleasant View, TN1558710970
- Joseph Armstrong, M.D.Bristol, TN1083724371
Common questions
What is Sophie Cai, MD's NPI number?
Sophie Cai, MD's National Provider Identifier (NPI) is 1275914699, issued on Jun 11, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Sophie Cai, MD located?
The NPPES record lists a practice address at 1961 Northpoint Blvd # 11, Hixson, TN, 37343. Phone: (423) 756-1002. Providers update this record themselves, so call before visiting.
How can I verify Sophie Cai, MD's license?
NPPES lists Tennessee license number 70249, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sophie Cai, MD prescribe under Medicare Part D?
In 2024, Sophie Cai, MD had 174 Medicare Part D claims for 56 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Sophie Cai, MD's MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.