2026 NPPES data Medical Physician Assistant NPI 1366115610 PA-C
Verify on CMS →

Sophie Waldman, PA-C

Medical Physician Assistant in Washington, District of Columbia. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,527 in Medical Physician Assistant, 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
3K
Medicare Part D claims · 221 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
76%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Sophie Waldman, PA-C filed 2,696 Medicare Part D claims in 2023 as a Medical Physician Assistant in Washington, District of Columbia, prescribing 76% generic.

3K
Part D claims, 2023
76%
generic prescribing

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 Waldman, PA-C's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

2,696 Top 13% higher than 87% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Sophie Waldman, PA-C?

Quality data not reported

NPI registry status

Active

Issued 07/30/2021

NPI 1366115610

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

2,696 150% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

Specialty distribution in District of Columbia

How Medical Physician Assistant compares to other specialties among District of Columbia providers

District of Columbia providers

Largest specialties in District of Columbia (% of in-state providers)

Home Health Aide - 20.8%Home Health Aide20.8%Personal Care Attendant - 11.5%Personal Care Attendant11.5%Case Manager/Care Coordinator - 7%Case Manager/Care Coordinator7%Student in an Organized Health Care Education/Training Program - 6.4%Student in an Organized Health Care Education/Training Program6.4%Clinical Social Worker - 4%Clinical Social Worker4%Internal Medicine Physician - 2.1%Internal Medicine Physician2.1%Medical Physician Assistant - 0.4%Medical Physician Assistant0.4%
Largest specialties in District of Columbia (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Medical Physician Assistant. Verify directly:

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 Waldman, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 3800 RESERVOIR RD NW STE M4200, Washington, DC, 20007, with a listed phone of (202) 444-8830. NPI 1366115610 was issued on 07/30/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Waldman 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 2,696 prescription claims written by this provider, covering 221 Medicare beneficiaries and totaling roughly $396K in drug spend, split 21% brand-name and 76% generic by claim count, with an opioid prescribing rate of 1.3%. 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.

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

3800 RESERVOIR RD NW STE M4200
Washington, DC 20007

Provider Details

NPI 1366115610
Specialty Medical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 07/30/2021

Hospital and facility affiliations

Facilities where Sophie Waldman, 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.

Divinity Medical Services PLLC
Mount Vernon, NY
North Shore Lij Urgent Care PC
Forest Hills, NY

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 Waldman, PA-C - brand share 21.0%
Medical Physician Assistant average

21% brand-name claims vs 76% generic, on 2,696 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.

2,696
Total Claims
$396K
Total Drug Cost
221
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,804
Total Day Supply
140,433
Brand vs Generic
21% brand / 76% generic
Brand Drug Cost
$321K
Generic Drug Cost
$73K
Opioid Claims
35 (1.3% rate)
Antibiotic Claims
51

Patient Demographics

Average Patient Age
78.1 years
Avg HCC Risk Score
2.74
Gender Split
75% female / 25% male
Age Distribution
<65: 34, 65-74: 47, 75-84: 58, 85+: 82

Top Prescribed Drugs (Medicare Part D)

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

What Sophie Waldman, 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
Amlodipine Besylate
119
Atorvastatin Calcium
97
Losartan Potassium
75
Metoprolol Succinate
56
Albuterol Sulfate Hfa
Albuterol Sulfate
55
Hydrochlorothiazide
51
Gabapentin
49
Nifedipine Er
Nifedipine
48
Silver Sulfadiazine
48
Symbicort
Budesonide/Formoterol Fumarate
48

* 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 Sophie Waldman, 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

Sophie Waldman, PA-C's 2,696 claims are above the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in District of Columbia

Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as Waldman.

Compare Medical Physician Assistant 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 District of Columbia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Medical Physician Assistant 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.

Frequently Asked Questions

What is Sophie Waldman, PA-C's specialty?
Sophie Waldman, PA-C specializes in Medical Physician Assistant and practices in Washington, District of Columbia. Credentials: PA-C.
How much does Sophie Waldman, PA-C prescribe under Medicare Part D?
In 2023, Sophie Waldman, PA-C wrote 2,696 Medicare Part D claims totaling $396K in drug costs for 221 beneficiaries.
Where is Sophie Waldman, PA-C located?
Sophie Waldman, PA-C is located at 3800 RESERVOIR RD NW STE M4200, Washington, DC, 20007. Phone: (202) 444-8830.
What is Sophie Waldman, PA-C's NPI number?
Sophie Waldman, PA-C's National Provider Identifier (NPI) is 1366115610, issued on 07/30/2021.
Does Sophie Waldman, PA-C prescribe more brand-name or generic drugs?
Sophie Waldman, PA-C's prescribing is 21% brand-name and 76% generic drugs by claim count, with $321K in brand drug costs.
Does Sophie Waldman, PA-C prescribe opioids?
Yes, Sophie Waldman, PA-C had 35 opioid claims in 2023 with an opioid prescribing rate of 1.3%.
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 Sophie Waldman, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Sophie Waldman, PA-C's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sophie Waldman, PA-C accept Medicare?
Sophie Waldman, PA-C appears in CMS Medicare data with 2,696 Part D claims and 221 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sophie Waldman, PA-C's credentials?
Sophie Waldman, PA-C's NPI is 1366115610 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.
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.