2026 NPPES data Rheumatology Physician NPI 1386103372 MD-PHD
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ZANDRA WALTON, MD-PHD

Rheumatology Physician in BOSTON, Massachusetts. 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
357
Medicare Part D claims · 72 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$15.1K
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ZANDRA WALTON, MD-PHD filed 357 Medicare Part D claims in 2023 as a Rheumatology Physician in BOSTON, Massachusetts, prescribing 80% generic.

357
Part D claims, 2023
80%
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.

ZANDRA WALTON, MD-PHD's Medicare Part D volume vs every U.S. prescriber

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

357 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. 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

Board certification likely (heuristic — not verified)

ZANDRA WALTON, MD-PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — 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 ZANDRA WALTON, MD-PHD?

Quality data not reported

NPI registry status

Active

Issued 03/18/2019

NPI 1386103372

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

357 83% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in Massachusetts

How Rheumatology Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Rheumatology Physician share within Massachusetts

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Rheumatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Rheumatology Physician ABMS/AOA estimate

Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

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).

ZANDRA WALTON, MD-PHD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD-PHD credentials at 55 FRUIT ST, BOSTON, MA, 02114, with a listed phone of (617) 726-7938. NPI 1386103372 was issued on 03/18/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WALTON 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 357 prescription claims written by this provider, covering 72 Medicare beneficiaries and totaling roughly $588K in drug spend, split 20% brand-name and 80% generic by claim count. 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

55 FRUIT ST
BOSTON, MA 02114

Provider Details

NPI 1386103372
Specialty Rheumatology Physician
Credentials MD-PHD
Gender Female
NPI Issued 03/18/2019

Hospital and facility affiliations

Facilities where ZANDRA WALTON, MD-PHD 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.

THE GENERAL HOSPITAL CORPORATION
BOSTON, MA

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 ZANDRA WALTON, MD-PHD. Source: openpaymentsdata.cms.gov.

Total received

$15.1K

Largest payer

Celgene Corporation

Most common payment type

Travel and Lodging

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to ZANDRA WALTON, MD-PHD. To verify ZANDRA WALTON, MD-PHD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ZANDRA WALTON, MD-PHD — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 357 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.

357
Total Claims
$588K
Total Drug Cost
72
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
691
Total Day Supply
20,063
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$572K
Generic Drug Cost
$16K

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
2.08
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

What ZANDRA WALTON, MD-PHD 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
Prednisone
81
Hydroxychloroquine Sulfate
45
Allopurinol
24
Methotrexate
Methotrexate Sodium
22
Mycophenolate Mofetil
21
Cosentyx Sensoready Pen
Secukinumab
17
Diclofenac Sodium
14
Humira Pen
Adalimumab
14
Colchicine
13
Actemra
Tocilizumab
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Rheumatology Physician Overview

How ZANDRA WALTON, MD-PHD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

ZANDRA WALTON, MD-PHD's 357 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Massachusetts

Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as WALTON.

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

Frequently Asked Questions

What is ZANDRA WALTON, MD-PHD's specialty?
ZANDRA WALTON, MD-PHD specializes in Rheumatology Physician and practices in BOSTON, Massachusetts. Credentials: MD-PHD.
How much does ZANDRA WALTON, MD-PHD prescribe under Medicare Part D?
In 2023, ZANDRA WALTON, MD-PHD wrote 357 Medicare Part D claims totaling $588K in drug costs for 72 beneficiaries.
Where is ZANDRA WALTON, MD-PHD located?
ZANDRA WALTON, MD-PHD is located at 55 FRUIT ST, BOSTON, MA, 02114. Phone: (617) 726-7938.
What is ZANDRA WALTON, MD-PHD's NPI number?
ZANDRA WALTON, MD-PHD's National Provider Identifier (NPI) is 1386103372, issued on 03/18/2019.
Does ZANDRA WALTON, MD-PHD prescribe more brand-name or generic drugs?
ZANDRA WALTON, MD-PHD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $572K in brand drug costs.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does ZANDRA WALTON, MD-PHD prescribe most often?
Based on 2023 Medicare Part D data, ZANDRA WALTON, MD-PHD's most frequently prescribed drugs include Prednisone, Hydroxychloroquine Sulfate, Allopurinol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ZANDRA WALTON, MD-PHD accept Medicare?
ZANDRA WALTON, MD-PHD appears in CMS Medicare data with 357 Part D claims and 72 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ZANDRA WALTON, MD-PHD's credentials?
ZANDRA WALTON, MD-PHD's NPI is 1386103372 with credentials MD-PHD. 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