SOFIA BARROSO DMD
NPI 1255627766
Dentist in Wayne, PA

Active since June 22, 2011PECOS Enrolled
430 E LANCASTER AVE APT A1, WAYNE, PA 19087(305) 877-3816 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sofia Barroso Dmd NPPES

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

SOFIA BARROSO DMD (NPI 1255627766) is an individual dentist in Wayne, Pennsylvania, licensed in Pennsylvania (DS038675) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1255627766
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSOFIA BARROSOCredential: DMD
Location Address430 E LANCASTER AVE APT A1Wayne, PA 19087-4313
Mailing Address430 E Lancaster Ave Apt A1Wayne, PA 19087-4313 · (305) 877-3816
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 22, 2011
✔ NPI 1255627766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS038675
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
430 E LANCASTER AVE APT A1, Wayne, PA 19087

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sofia Barroso Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143531863
PECOS Enrollment IDI20260717001974
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 Reassignment

Medicare enrollment records show Sofia Barroso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dentist
1288 VALLEY FORGE RD STE 52
Phoenixville, PA 19460
  • Reassigned Medicare billing, Pennsylvania enrollment

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19087 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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 Sofia Barroso's NPI number?

The NPI number for Sofia Barroso is 1255627766. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Sofia Barroso located?

Sofia Barroso practices at 430 E Lancaster Ave Apt A1, Wayne, PA 19087. The listed phone number is (305) 877-3816.

What is Sofia Barroso's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sofia Barroso enrolled in Medicare?

Yes. Sofia Barroso is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sofia Barroso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sofia Barroso reassigns Medicare benefits to Sbo Dental Professional Corp (Phoenixville, PA). The 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 Sofia Barroso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sofia Barroso accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and EMI Health and 6 other insurers list Sofia Barroso 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 Sofia Barroso was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.