Sophie Toya, M.D.
Dr. Sophie Toya, M.D. is a physician specializing in pulmonary and critical care medicine. She was convicted in federal court for her role in a $6.3 million Medicare fraud scheme involving medically unnecessary orthotic braces.
- Bloomfield Hills, Michigan
What Happened?
According to the U.S. Department of Justice, Dr. Toya prescribed more than 7,900 orthotic braces to over 2,600 Medicare patients during a six-month period. Prosecutors presented evidence that she signed prescriptions for patients she did not personally treat and, in some cases, did not speak with at all. (justice.gov)
The prescriptions were allegedly used by brace companies to bill Medicare more than $6.3 million. Dr. Toya was paid approximately $120,000 by telemedicine companies for signing the prescriptions. A federal jury convicted her in May 2024 of health care fraud and five counts of making false statements relating to health care matters. (justice.gov)
In June 2025, Dr. Toya was sentenced to four years in federal prison and ordered to pay more than $3.6 million in restitution.
Michigan also revoked Dr. Toya’s medical license in April 2026. The Michigan Department of Licensing and Regulatory Affairs cited her criminal conviction, insurance fraud, unprofessional conduct, and other grounds.
Quick Facts
| Name | Sophie Toya, M.D. |
|---|---|
|
Type |
Medical Provider |
|
Specialty |
Pulmonary & Critical Care Medicine
|
|
Location |
Bloomfield Hills, MI
|
|
Watchlist Basis
|
Federal health care fraud conviction and medical license revocation |
Were You Treated by Dr. Toya?
If you or a family member received medical care from Dr. Toya and believe you were harmed by unnecessary treatment, inaccurate medical records, improper prescriptions, or another form of medical misconduct, Oliver Bell Group can review your situation.
Inclusion on the White Coat Watchlist does not automatically establish a medical malpractice claim. Each potential claim depends on the individual circumstances and applicable Michigan law.
Sources:
U.S. Department of Justice — Michigan Doctor Sentenced to Four Years for $6.3M
Medicare Fraud Scheme (justice.gov)
Michigan Department of Licensing and Regulatory Affairs — Disciplinary Action Report
Macomb County Legal News — Doctor Sentenced to Four Years for $6.3M Medicare Fraud
Scheme