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DR. SARAH HELEN SOFKA MD
NPI 1003088550
Internal Medicine in Morgantown, WV

Active since March 25, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
101 STADIUM DR, MORGANTOWN, WV 26506(304) 293-7401 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2022, Jan 6, 2021, Oct 20, 2020 (3 updates tracked since 2020).

About Dr. Sarah Helen Sofka Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SARAH HELEN SOFKA MD (NPI 1003088550) is an individual internal medicine provider in Morgantown, West Virginia, licensed in West Virginia (23980) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of West Virginia University School Of Medicine (2008).

NPPES Registry Identity

NPI1003088550
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SARAH HELEN SOFKACredential: MD
Location Address101 STADIUM DRMorgantown, WV 26506-7911
Mailing AddressPo Box 897Morgantown, WV 26507-0897 · (304) 293-7401 · Fax (304) 293-6963
Phone(304) 293-7401
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2008
Enumeration DateMarch 25, 2008
Last NPPES UpdateApril 8, 20223 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1003088550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 23980
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 STADIUM DR, Morgantown, WV 26506
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sarah Helen Sofka Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567630882
PECOS Enrollment IDI20110712000423
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
99 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FATIMA ASAD MD
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
DR. MOHAMMED M ALNAMNAKANI M.D
Student in an Organized Health Care Education/Training Program
101 STADIUM DR, ROBERT C. BYRD HEALTH SCIENCES CENTER
MORGANTOWN, WV 26506
Monongalia County (304) 293-1621
PATRICK S TROUTEN MD
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
DR. MARIA ANN LONG M.D.
Emergency Medicine
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 293-2436
KATHERINE LOUISE BERGMAN
Internal Medicine
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
WALTER J KIELKOWSKI CRNA
Nurse Anesthetist, Certified Registered
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
ASHLEY NICOLE EBY
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
BRETT MILLER MD
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Sofka's NPI number?

The NPI number for Sarah Sofka is 1003088550. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Where is Sarah Sofka located?

Sarah Sofka practices at 101 Stadium Dr, Morgantown, WV 26506. The listed phone number is (304) 293-7401.

What is Sarah Sofka's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sarah Sofka enrolled in Medicare?

Yes. Sarah Sofka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sarah Sofka accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Sarah Sofka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sarah Sofka affiliated with any hospitals?

According to CMS data, Sarah Sofka is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Sarah Sofka was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.