SONYA K CULVER DO
NPI 1164423950
Family Medicine in Parsons, KS

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
74.66/100
CMS Quality Rating
1902 S US HIGHWAY 59, STE 4, PARSONS, KS 67357(620) 421-2700(620) 421-8135 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sonya K Culver Do NPPES

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

SONYA K CULVER DO (NPI 1164423950) is an individual family medicine provider in Parsons, Kansas, licensed in Kansas (05-21956) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Labette Health, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (1986).

NPPES Registry Identity

NPI1164423950
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSONYA K CULVERCredential: DO
Location Address1902 S US HIGHWAY 59, STE 4Parsons, KS 67357-4948
Mailing Address400 Katy AveParsons, KS 67357-2451 · (620) 421-2700 · Fax (620) 421-8135
Fax(620) 421-8135
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1986
Enumeration DateAugust 3, 2005
Last NPPES UpdateFebruary 20, 2017
NPI 1164423950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KS · 05-21956
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1902 S US HIGHWAY 59, Parsons, KS 67357

Other Identifiers 4

Other53091KS · Bcbs
Medicare UPINB91209
Medicaid100236200BKS
Medicare ID-Type Unspecified53091KS

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

Sonya K Culver Do 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 ID1052397528
PECOS Enrollment IDI20040625000350
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.

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.
208 services56 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
64 services25 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
43 services42 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.
38 services31 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.
29 services22 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Labette Health

Acute Care Hospitals · Parsons, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170120
Location1902 South Us Hwy 59Parsons, KS 67357 · Labette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67357 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

74.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality63.02
Improvement Activities40

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.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims760 services$0.35 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
3 suppliers15 claims730 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims1,347 services$0.38 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.

Family Medicine
1902 S US HIGHWAY 59
PARSONS, KS 67357
Clinical Medical Laboratory
1902 S US HIGHWAY 59
PARSONS, KS 67357
Rehabilitation Unit
1902 S US HIGHWAY 59
PARSONS, KS 67357
Nurse Practitioner (Family)
1902 S US HIGHWAY 59
PARSONS, KS 67357
Specialist
1902 S US HIGHWAY 59
PARSONS, KS 67357
Physician Assistant
1902 S US HIGHWAY 59
PARSONS, KS 67357
Internal Medicine
1902 S US HIGHWAY 59
PARSONS, KS 67357
Internal Medicine
1902 S US HIGHWAY 59
PARSONS, KS 67357

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 Sonya Culver's NPI number?

The NPI number for Sonya Culver is 1164423950. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Sonya Culver located?

Sonya Culver practices at 1902 S Us Highway 59 Ste 4, Parsons, KS 67357. The listed phone number is (620) 421-2700.

What is Sonya Culver's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sonya Culver enrolled in Medicare?

Yes. Sonya Culver 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 Sonya Culver accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Sonya Culver 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 Sonya Culver affiliated with any hospitals?

According to CMS data, Sonya Culver is affiliated with Labette Health.

When was this NPI record last updated?

The NPPES record for Sonya Culver was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.