SONIA NASERY
NPI 1023423464
Internal Medicine in Martinsburg, WV

Q: What is Sonia Nasery's NPI number?

The NPI number for Sonia Nasery is 1023423464. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Q: What is Sonia Nasery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sonia Nasery was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment

1004 SUSHRUTA DR STE A, MARTINSBURG, WV 25401(571) 502-1340 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2026, Mar 14, 2021, Aug 15, 2019 (3 updates tracked since 2019).

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About Sonia Nasery NPPES

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

SONIA NASERY (NPI 1023423464) is an individual internal medicine provider in Martinsburg, West Virginia, licensed in Virginia (380905) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1023423464

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSONIA NASERY

Location Address1004 SUSHRUTA DR STE AMartinsburg, WV 25401-8801

Mailing Address1004 Sushruta Dr Ste AMartinsburg, WV 25401-8801 · (571) 502-1340

Phone(571) 502-1340

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateJune 24, 2014

Last NPPES UpdateApril 30, 20263 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1023423464 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 VA · 380905

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 ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 29279 (WV)

1004 SUSHRUTA DR STE A, Martinsburg, WV 25401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sonia Nasery 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 ID244668911

PECOS Enrollment IDI20200311000370, I20200325002451

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.

Medicare Billing Reassignments

Medicare enrollment records show Sonia Nasery reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Hospital, Inc.

0.4 mi

Internal Medicine

2500 HOSPITAL DR
Martinsburg, WV 25401

Reassigned Medicare billing, West Virginia enrollment
231 clinicians in this Medicare group

NPI 1194141499 (304) 264-1249

Kidney Specialists, PLLC

0.4 mi

Medical Specialty

176 HEALTH CARE LN STE A
Martinsburg, WV 25401

Reassigned Medicare billing, Virginia and West Virginia enrollments
5 clinicians in this Medicare group

NPI 1376829671 (304) 262-4123

Renal Physician Associates Of Winchester Plc

23 mi

Medical Specialty

812 AMHERST ST, STE 201
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
12 clinicians in this Medicare group

NPI 1528142577 (540) 450-1600

Hospitalist Medicine Physicians Of West Virginia, PLLC

152 mi

Internal Medicine

2000 EOFF ST
Wheeling, WV 26003

Reassigned Medicare billing, West Virginia enrollment
193 clinicians in this Medicare group

NPI 1649575101 (304) 234-0123

Hospitalist Medicine Physicians Of West Virginia- Tcg PLLC

216 mi

Internal Medicine

4605 MACCORKLE AVE SW
South Charleston, WV 25309

Reassigned Medicare billing, West Virginia enrollment
72 clinicians in this Medicare group

NPI 1386122844 (304) 766-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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 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.

597 services161 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

486 services255 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

270 services62 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

235 services32 patients

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.

130 services57 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.

105 services88 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

74 services57 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

65 services58 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

49 services49 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

48 services36 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

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services18 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511309

Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County

Emergency services

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number511319

Location300 South Preston StreetRanson, WV 25438 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cyclosporine, oral, 100 mg J7502

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier11 claims660 services$1.70 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers13 claims1,560 services$0.19 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers14 claims14 services$12.62 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DR. STEPHEN LEIGH JOHNSTON DNP

Nurse Practitioner (Family)

1004 SUSHRUTA DR STE A
MARTINSBURG, WV 25401

Berkeley County (304) 449-3778

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 Sonia Nasery's NPI number?

The NPI number for Sonia Nasery is 1023423464. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Sonia Nasery located?

Sonia Nasery practices at 1004 Sushruta Dr Ste A, Martinsburg, WV 25401. The listed phone number is (571) 502-1340.

What is Sonia Nasery's specialty?

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

Is Sonia Nasery enrolled in Medicare?

Yes. Sonia Nasery 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.

Which organizations bill Medicare for Sonia Nasery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Nasery reassigns Medicare benefits to 5 organizations: City Hospital, Inc. (Martinsburg, WV), Kidney Specialists, PLLC (Martinsburg, WV), Renal Physician Associates Of Winchester Plc (Winchester, VA), Hospitalist Medicine Physicians Of West Virginia, PLLC (Wheeling, WV) and Hospitalist Medicine Physicians Of West Virginia- Tcg PLLC (South Charleston, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonia Nasery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia Nasery accept?

Health plans from CareSource list Sonia Nasery 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 Sonia Nasery affiliated with any hospitals?

According to CMS data, Sonia Nasery is affiliated with Winchester Medical Center, Berkeley Medical Center, Valley Health War Memorial Hospital and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Sonia Nasery was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.