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DR. SOPHIA A. OMORO MD, PHD
NPI 1336323609
Otolaryngology in Lima, OH

Active since December 21, 2007PECOS EnrolledAccepts Medicare Assignment
1005 BELLEFONTAINE AVE STE 125, LIMA, OH 45804(419) 998-8244(419) 998-8243 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2020, Sep 17, 2020, Mar 7, 2019 and 3 more (6 updates tracked since 2017).

About Dr. Sophia A. Omoro Md, Phd NPPES

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

DR. SOPHIA A. OMORO MD, PHD (NPI 1336323609) is an individual otolaryngology provider in Lima, Ohio, licensed in Ohio (35.129523) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Tulane University School Of Medicine (2002).

NPPES Registry Identity

NPI1336323609
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SOPHIA A. OMOROCredential: MD, PHD
Location Address1005 BELLEFONTAINE AVE STE 125Lima, OH 45804-2893
Mailing Address1001 Bellefontaine AveLima, OH 45804-2800 · (419) 998-4575 · Fax (419) 998-4586
Phone(419) 998-8244
Fax(419) 998-8243
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2002
Enumeration DateDecember 21, 2007
Last NPPES UpdateNovember 4, 20206 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1336323609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in OH · 35.129523✔ Licensed in LA · MD201447✔ Licensed in LA · MD.201447
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1005 BELLEFONTAINE AVE STE 125, Lima, OH 45804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Sophia A. Omoro Md, Phd 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 ID9537234703
PECOS Enrollment IDI20220622000540
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 Sophia Omoro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lima Memorial Professional Corporation
Same address
Nephrology
1005 BELLEFONTAINE AVE STE 230
Lima, OH 45804
  • Reassigned Medicare billing, Ohio enrollment
  • 228 clinicians in this Medicare group
NPI 1063853414 (419) 998-8255
Memorial Hospital At Gulfport
722 mi
General Acute Care Hospital
90 INDUSTRIAL PARK CIR
Ocean Springs, MS 39564
  • Reassigned Medicare billing, Mississippi enrollment
  • 731 clinicians in this Medicare group
NPI 1447869854 (228) 872-6290
Ochsner Clinic LLC
723 mi
General Practice
300 PAVILION RD
West Monroe, LA 71292
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
NPI 1932598695 (318) 323-1100

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 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.

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.
217 services217 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.
157 services127 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
86 services81 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
41 services37 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
38 services36 patients
Vemp testing of lower branch of inner ear nerve with interpretation and report 92517
VEMP testing is a safe procedure used to evaluate the functioning of your inner ear nerves. It involves playing sounds into your ears and recording the responses from your muscles. This helps detect any abnormalities in your inner ear. The results are then interpreted and reported by a specialist.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45804 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 Sophia Omoro's NPI number?

The NPI number for Sophia Omoro is 1336323609. It was assigned to this individual provider in the NPPES registry on December 21, 2007.

Where is Sophia Omoro located?

Sophia Omoro practices at 1005 Bellefontaine Ave Ste 125, Lima, OH 45804. The listed phone number is (419) 998-8244.

What is Sophia Omoro's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Sophia Omoro enrolled in Medicare?

Yes. Sophia Omoro 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 Sophia Omoro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Omoro reassigns Medicare benefits to 3 organizations: Lima Memorial Professional Corporation (Lima, OH), Memorial Hospital At Gulfport (Ocean Springs, MS) and Ochsner Clinic LLC (West Monroe, LA). 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 Sophia Omoro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Omoro accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sophia Omoro 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 Sophia Omoro affiliated with any hospitals?

According to CMS data, Sophia Omoro is affiliated with Graham Hospital Association and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Sophia Omoro was last updated on November 4, 2020. 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.