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SONYA ADDISON M.D.
NPI 1215199369
Internal Medicine - Endocrinology, Diabetes & Metabolism in Columbia, MO

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
1701 E BROADWAY, STE 302, COLUMBIA, MO 65201(573) 815-7146(573) 715-7143 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2021, Jan 29, 2021 (2 updates tracked since 2021).

About Sonya Addison M.d. NPPES

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

SONYA ADDISON M.D. (NPI 1215199369) is an individual endocrinology, diabetes & metabolism provider in Columbia, Missouri, licensed in Missouri (2013021735) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and is a graduate of University Of Missouri, Columbia School Of Medicine (2008).

NPPES Registry Identity

NPI1215199369
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSONYA ADDISONCredential: M.D.
Location Address1701 E BROADWAY, STE 302Columbia, MO 65201-8018
Mailing Address1701 E Broadway Ste 302Columbia, MO 65201-8018 · (573) 815-7146
Phone(573) 815-7146
Fax(573) 715-7143
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1215199369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MO · 2013021735
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1701 E BROADWAY, Columbia, MO 65201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 Addison 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 ID3072756287
PECOS Enrollment IDI20130906000359
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 9

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 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.
751 services467 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
352 services199 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
89 services86 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.
77 services68 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
54 services53 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
45 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260009
Location601 E 14th StSedalia, MO 65302 · Pettis County
Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

Fitzgibbon Hospital

Acute Care Hospitals · Marshall, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260142
Location2305 S 65 HighwayMarshall, MO 65340 · Saline County
Emergency services Birthing friendly

Pershing Memorial Hospital

Critical Access Hospitals · Brookfield, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261307
Location130 East LocklingBrookfield, MO 64628 · Linn County
Emergency services

Macon County Samaritan Memorial Hospital

Critical Access Hospitals · Macon, MO
OwnershipGovernment - Local
CMS Certification Number261313
Location1205 North Missouri StMacon, MO 63552 · Macon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers42 claims525 services$18.54 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers36 claims1,150 services$2.37 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
4 suppliers18 claims18 services$179.43 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
41 suppliers145 claims556 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
22 suppliers49 claims93 services$1.02 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
4 suppliers11 claims22 services$60.77 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 8

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

DR. JAMES S. DENNINGHOFF M.D.
Otolaryngology
1701 E BROADWAY, SUITE 304
COLUMBIA, MO 65201
Boone County (573) 815-0662
PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC
Plastic Surgery
1701 E BROADWAY, SUITE 304
COLUMBIA, MO 65201
Boone County (573) 876-1700
MISS CHRISTINA ELAINE STIXRUD M.D.
Internal Medicine
1701 E BROADWAY, SUITE 203
COLUMBIA, MO 65201
Boone County (573) 441-1000
MRS. DELIA A MATIAS I M.D.
Pediatrics
1701 E BROADWAY, SUITE 205
COLUMBIA, MO 65201
Boone County (573) 875-2505
MICHAEL SZEWCZYK M.D.
Preventive Medicine (Occupational Medicine)
1701 E BROADWAY, SUITE 204
COLUMBIA, MO 65201
Boone County (573) 815-2667
JENNIFER LYNN ANDERSON RD, LD, CDE
Dietitian, Registered
1701 E BROADWAY
COLUMBIA, MO 65201
Boone County (573) 815-2649
DR. JOHN RICHARD ABEL D.D.S.
Dentist
1701 E BROADWAY, SUTIE 106
COLUMBIA, MO 65201
Boone County (573) 449-5565
CHRISTINA E. STIXRUD & ASSOCIATES, M.D., P.C.
Internal Medicine
1701 E BROADWAY, SUITE 203
COLUMBIA, MO 65201
Boone County (573) 441-1000

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 Addison's NPI number?

The NPI number for Sonya Addison is 1215199369. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Sonya Addison located?

Sonya Addison practices at 1701 E Broadway Ste 302, Columbia, MO 65201. The listed phone number is (573) 815-7146.

What is Sonya Addison's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sonya Addison enrolled in Medicare?

Yes. Sonya Addison 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 Addison accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Sonya Addison 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 Addison affiliated with any hospitals?

According to CMS data, Sonya Addison is affiliated with Bothwell Regional Health Center, Boone Hospital Center, Fitzgibbon Hospital, Pershing Memorial Hospital and Macon County Samaritan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sonya Addison was last updated on April 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.