Sonja Stumme Krafcik, MD
NPI 1598767170ActiveIndividual· Internal Medicine· Laguna Niguel, CA
Internal Medicine (MD) in Laguna Niguel, California, trained at Baylor College of Medicine (class of 1990). Their prescriptions cost Medicare Part D more than their services did: $1,023,369 for 9,823 claims, against $75,178 paid for services in 2024.
Overview
| NPI | 1598767170 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Aug 12, 2005 |
| Last updated in NPPES | Jul 9, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | C51621 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 260 |
|---|---|
| Services billed | 988 across 26 procedure codes |
| Paid by Medicare | $75,178 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,823 · 22,038 30-day fills |
|---|---|
| Patients | 614 |
| Total drug cost | $1,023,369 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Baylor College of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Hospital affiliations
- Hoag Memorial Hospital PresbyterianNewport Beach, CA
- Memorialcare Saddleback Medical CenterLaguna Hills, CA
- Providence Mission HospitalMission Viejo, CA
Other facilities
- Hoag Home HealthHome health agency · Newport Beach, CA
- Providence at Home With Compassus Home Health Orange CountyHome health agency · Anaheim, CA
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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