CARRIE E. SOPATA M.D.
NPI 1306040886
Obstetrics & Gynecology in Charlottesville, VA

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
2955 IVY RD STE 304, CHARLOTTESVILLE, VA 22903(434) 243-4570(434) 295-5491 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2023, Oct 15, 2020 (2 updates tracked since 2020).

About Carrie E. Sopata M.d. NPPES

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

CARRIE E. SOPATA M.D. (NPI 1306040886) is an individual obstetrics & gynecology provider in Charlottesville, Virginia, licensed in Virginia (0101249800) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1306040886
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCARRIE E. SOPATACredential: M.D.
Location Address2955 IVY RD STE 304Charlottesville, VA 22903-9353
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 295-5491
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2007
Enumeration DateJune 11, 2007
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1306040886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101249800
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2955 IVY RD STE 304, Charlottesville, VA 22903

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-9353 · Phone (434) 924-0211

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

Carrie E. Sopata 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 ID7517137243
PECOS Enrollment IDI20110907000846
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

3

Medicare enrollment records show Carrie Sopata reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
Multi-Specialty
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 584 clinicians in this Medicare group
Obstetrics & Gynecology
13700 ST FRANCIS BLVD, SUITE 100
Midlothian, VA 23114
  • Reassigned Medicare billing, Virginia enrollment
  • 315 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.

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.
47 services35 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
19 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

Obstetrics & Gynecology (Gynecology)
2955 IVY RD STE 304
CHARLOTTESVILLE, VA 22903
Advanced Practice Midwife
2955 IVY RD STE 304
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Family)
2955 IVY RD STE 304
CHARLOTTESVILLE, VA 22903
Obstetrics & Gynecology
2955 IVY RD STE 304
CHARLOTTESVILLE, VA 22903
Obstetrics & Gynecology
2955 IVY RD STE 304
CHARLOTTESVILLE, VA 22903
Advanced Practice Midwife
2955 IVY RD STE 304
CHARLOTTESVILLE, VA 22903
Advanced Practice Midwife
2955 IVY RD STE 304
CHARLOTTESVILLE, VA 22903
Obstetrics & Gynecology
2955 IVY RD STE 304
CHARLOTTESVILLE, VA 22903

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 Carrie Sopata's NPI number?

The NPI number for Carrie Sopata is 1306040886. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Carrie Sopata located?

Carrie Sopata practices at 2955 Ivy Rd Ste 304, Charlottesville, VA 22903. The listed phone number is (434) 243-4570.

What is Carrie Sopata's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carrie Sopata enrolled in Medicare?

Yes. Carrie Sopata 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 Carrie Sopata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Sopata reassigns Medicare benefits to 3 organizations: University Of Virginia Physicians Group (Charlottesville, VA), Uva Community Health Medical Group, LLC (Charlottesville, VA) and Obhg Virginia, LLC (Midlothian, VA). 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 Carrie Sopata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carrie Sopata accept?

Health plans from Oscar Health list Carrie Sopata 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 Carrie Sopata affiliated with any hospitals?

According to CMS data, Carrie Sopata is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Carrie Sopata was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.