TOYOOKI SONODA M.D.
NPI 1124033576
Colon & Rectal Surgery in New York, NY

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1315 YORK AVE, 2ND FLOOR, NEW YORK, NY 10021(212) 746-6030 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Toyooki Sonoda M.d. NPPES

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

TOYOOKI SONODA M.D. (NPI 1124033576) is an individual colon & rectal surgery provider in New York, New York, licensed in New York (220689) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Yale University School Of Medicine (1993).

NPPES Registry Identity

NPI1124033576
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameTOYOOKI SONODACredential: M.D.
Location Address1315 YORK AVE, 2ND FLOORNew York, NY 10021-5304
Mailing Address525 E 68th St, Mailbox 172New York, NY 10021-4870 · (212) 746-6030
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 1993
Enumeration DateJuly 31, 2006
Last NPPES UpdateApril 2, 2021
NPPES CertifiedApril 2, 2021
NPI 1124033576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in NY · 220689
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 220689 (NY)
1315 YORK AVE, New York, NY 10021

Other Identifiers 1

OtherA400002653NY · Medicare Id

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

Toyooki Sonoda M.d. 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 ID3678641883
PECOS Enrollment IDI20081001000188
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 10

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
91 services27 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.
88 services67 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
39 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services33 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.
35 services35 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.
27 services22 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 13

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
4 suppliers16 claims830 services$3.35 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
5 suppliers13 claims29 services$3.39 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
6 suppliers36 claims1,063 services$4.85 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
3 suppliers22 claims192 services$2.40 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
7 suppliers33 claims780 services$8.12 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
6 suppliers33 claims955 services$5.56 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 20

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

Colon & Rectal Surgery
1315 YORK AVE, 2ND FLOOR
NEW YORK, NY 10021
Registered Nurse (Infusion Therapy)
1315 YORK AVE
NEW YORK, NY 10021
Nurse Practitioner (Family)
1315 YORK AVE, FLOOR 1
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
1315 YORK AVE
NEW YORK, NY 10021
Internal Medicine
1315 YORK AVE
NEW YORK, NY 10021
Physician Assistant (Medical)
1315 YORK AVE, MEZZANINE
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
1315 YORK AVE
NEW YORK, NY 10021
Colon & Rectal Surgery
1315 YORK AVE, 2ND FLOOR
NEW YORK, NY 10021

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 Toyooki Sonoda's NPI number?

The NPI number for Toyooki Sonoda is 1124033576. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Toyooki Sonoda located?

Toyooki Sonoda practices at 1315 York Ave 2nd Floor, New York, NY 10021. The listed phone number is (212) 746-6030.

What is Toyooki Sonoda's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Toyooki Sonoda enrolled in Medicare?

Yes. Toyooki Sonoda 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.

Is Toyooki Sonoda affiliated with any hospitals?

According to CMS data, Toyooki Sonoda is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Toyooki Sonoda was last updated on April 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.