DR. SOPHIE LEIGH AUSTIN MD
NPI 1114414729
Internal Medicine in Arden, NC

Active since April 18, 2018PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
2775 HENDERSONVILLE RD, ARDEN, NC 28704(828) 694-8900 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sophie Leigh Austin Md NPPES

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

DR. SOPHIE LEIGH AUSTIN MD (NPI 1114414729) is an individual internal medicine provider in Arden, North Carolina, licensed in North Carolina (2022-00264) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Brody School Of Medicine At East Carolina University (2018).

NPPES Registry Identity

NPI1114414729
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SOPHIE LEIGH AUSTINCredential: MD
Location Address2775 HENDERSONVILLE RDArden, NC 28704-0060
Mailing Address2775 Hendersonville RdArden, NC 28704-0060
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2018
Enumeration DateApril 18, 2018
Last NPPES UpdateJune 24, 2022
NPPES CertifiedJune 24, 2022
NPI 1114414729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2022-00264
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 ListedPediatricsTaxonomy 208000000X · License 2022-00264 (NC)
2775 HENDERSONVILLE RD, Arden, NC 28704

Accepted 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. Sophie Leigh Austin 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 ID8123377058
PECOS Enrollment IDI20220720002522
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

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.
27 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28704 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Physician Assistant
2775 HENDERSONVILLE RD
ARDEN, NC 28704
Family Medicine
2775 HENDERSONVILLE RD
ARDEN, NC 28704
Clinic/Center (Federally Qualified Health Center (FQHC))
2775 HENDERSONVILLE RD
ARDEN, NC 28704
Psychiatry & Neurology (Neurology)
2775 HENDERSONVILLE RD
ARDEN, NC 28704
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2775 HENDERSONVILLE RD
ARDEN, NC 28704
Counselor (Addiction (Substance Use Disorder))
2775 HENDERSONVILLE RD
ARDEN, NC 28704

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 Sophie Austin's NPI number?

The NPI number for Sophie Austin is 1114414729. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Sophie Austin located?

Sophie Austin practices at 2775 Hendersonville Rd, Arden, NC 28704. The listed phone number is (828) 694-8900.

What is Sophie Austin's specialty?

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

Is Sophie Austin enrolled in Medicare?

Yes. Sophie Austin 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 Sophie Austin accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Sophie Austin 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 Sophie Austin affiliated with any hospitals?

According to CMS data, Sophie Austin is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, Margaret R Pardee Memorial Hospital, Adventhealth Hendersonville and Unc Hospitals.

When was this NPI record last updated?

The NPPES record for Sophie Austin was last updated on June 24, 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.