Sophia Estella Horwath, M.D.
NPI 1417395880ActiveIndividual· Family Medicine· Lancaster, PA
Family Medicine (M.D.) with Lancaster General Hospital, practicing in Lancaster, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $111,522 for 1,669 claims, against $30,645 paid for services in 2024. Lists Lancaster General Hospital as a hospital affiliation.
Overview
| NPI | 1417395880 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 7, 2013 |
| Last updated in NPPES | Sep 15, 2026 |
| Certified by provider | Sep 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD458526 | PA |
| Family Medicine, Geriatric Medicine | 207QG0300X | MD458526 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 406 across 24 procedure codes |
| Paid by Medicare | $30,645 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,669 · 1,705 30-day fills |
|---|---|
| Patients | 90 |
| Total drug cost | $111,522 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Family Practice |
| Secondary specialties | Geriatric Medicine |
| Telehealth | Offers telehealth |
Medical group
- Lancaster General HospitalLancaster, PA · 520 clinicians
Hospital affiliation
- Lancaster General HospitalLancaster, PA
Other facilities
- Choices HealthcareHospice · Lancaster, PA
- Trillium PlaceNursing home · Lancaster, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 273 family medicine physicians in Lancaster · All family medicine physicians in Pennsylvania