SONIA VISHIN COMPTON MD
NPI 1255544342
Internal Medicine - Pulmonary Disease in Louisville, KY

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 W MARKET ST, SUITE 2, LOUISVILLE, KY 40202(502) 587-8000(502) 583-8001 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sonia Vishin Compton Md NPPES

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

SONIA VISHIN COMPTON MD (NPI 1255544342) is an individual pulmonary disease provider in Louisville, Kentucky, licensed in Kentucky (46002) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Wayne State University School Of Medicine (2005).

NPPES Registry Identity

NPI1255544342
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameSONIA VISHIN COMPTONCredential: MD
Location Address100 W MARKET ST, SUITE 2Louisville, KY 40202-1332
Mailing Address100 W Market St, Suite 2Louisville, KY 40202-1332 · (502) 587-8000 · Fax (502) 583-8001
Fax(502) 583-8001
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2005
Enumeration DateMay 7, 2007
Last NPPES UpdateJanuary 26, 2021
NPPES CertifiedJanuary 26, 2021
✔ NPI 1255544342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in KY · 46002✔ Licensed in AL · 27876✔ Licensed in IN · 01072281A
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
100 W MARKET ST, Louisville, KY 40202

Other Names 1

Former Name (1)Sonie Vishin M.d.

Other Identifiers 7

Medicaid129244AL
Other051118288AL · Bcbs
Other051118002AL · Bcbs
Other051118001AL · Bcbs
Medicaid05775790MS
Medicaid129242AL
Medicaid129243AL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sonia Vishin Compton 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 ID8921286386
PECOS Enrollment IDI20130918000097, I20130926000478
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sonia Compton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky and Indiana enrollments
  • Also billed through NPI 1386904647 (Indiana)
  • 1,896 clinicians in this Medicare group
General Practice
2195 HARRODSBURG RD STE 175
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
121 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
105 services78 patients
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.
48 services43 patients
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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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

Other Providers at the Same Location NPPES 18

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

Internal Medicine (Pulmonary Disease)
100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202
Internal Medicine (Pulmonary Disease)
100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202
Nurse Practitioner (Adult Health)
100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202
Internal Medicine (Pulmonary Disease)
100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202
Nurse Practitioner
100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202
Internal Medicine (Pulmonary Disease)
100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202
Internal Medicine (Pulmonary Disease)
100 W MARKET ST, SUITE 2
LOUISVILLE, KY 40202

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 Sonia Compton's NPI number?

The NPI number for Sonia Compton is 1255544342. It was assigned to this individual provider in the NPPES registry on May 7, 2007. The provider is also known as Sonie Vishin M.D..

Where is Sonia Compton located?

Sonia Compton practices at 100 W Market St Suite 2, Louisville, KY 40202. The listed phone number is (502) 587-8000.

What is Sonia Compton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sonia Compton enrolled in Medicare?

Yes. Sonia Compton 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.

Which organizations bill Medicare for Sonia Compton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Compton reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and University Of Kentucky (Lexington, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonia Compton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia Compton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Sonia Compton 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 Sonia Compton affiliated with any hospitals?

According to CMS data, Sonia Compton is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Sonia Compton was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.