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SONJA PARGINA BIDDLE OD
NPI 1124071899
Optometrist in Seaford, DE

Active since May 17, 2006PECOS Enrolled
90.26/100
CMS Quality Rating
8500 HERRING RUN RD, SEAFORD, DE 19973(302) 629-6691(302) 629-7963 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sonja Pargina Biddle Od NPPES

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

SONJA PARGINA BIDDLE OD (NPI 1124071899) is an individual optometrist in Seaford, Delaware, licensed in Delaware (130001197) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124071899
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSONJA PARGINA BIDDLECredential: OD
Location Address8500 HERRING RUN RDSeaford, DE 19973-5795
Mailing Address8500 Herring Run RdSeaford, DE 19973-5795 · (302) 629-6691 · Fax (302) 629-7963
Phone(302) 629-6691
Fax(302) 629-7963
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 14, 2023
✔ NPI 1124071899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in DE · 130001197
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
8500 HERRING RUN RD, Seaford, DE 19973
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sonja Pargina Biddle Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19973 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

90.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.53
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
96%101 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
80%301 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier22 claims22 services$52.00 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier17 claims31 services$57.24 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 2

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

PHILLIP DEMOTT OD
Ophthalmology
8500 HERRING RUN RD
SEAFORD, DE 19973
Sussex County (302) 629-6691
BETTS AND DEMOTT EYE CARE & OPTICAL BOUTIQUE
Optometrist
8500 HERRING RUN RD
SEAFORD, DE 19973
Sussex County (302) 629-6691

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 Sonja Biddle's NPI number?

The NPI number for Sonja Biddle is 1124071899. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Sonja Biddle located?

Sonja Biddle practices at 8500 Herring Run Rd, Seaford, DE 19973. The listed phone number is (302) 629-6691.

What is Sonja Biddle's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sonja Biddle enrolled in Medicare?

Yes. Sonja Biddle is registered in the Medicare PECOS enrollment system.

What insurance does Sonja Biddle accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Sonja Biddle 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.

When was this NPI record last updated?

The NPPES record for Sonja Biddle was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.