DR. SERGIO SOKOL M.D.,F.A.A.C.
NPI 1356398713
Internal Medicine - Cardiovascular Disease in Hewlett, NY

Active since May 30, 2006PECOS Enrolled
100/100
CMS Quality Rating
35 THIXTON DR, STE K, HEWLETT, NY 11557(917) 741-8599(516) 569-0188 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2022, Nov 6, 2020, Sep 15, 2016 (3 updates tracked since 2016).

About Dr. Sergio Sokol M.d.,f.a.a.c. NPPES

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

DR. SERGIO SOKOL M.D.,F.A.A.C. (NPI 1356398713) is an individual cardiovascular disease provider in Hewlett, New York, licensed in New York (205875) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1356398713
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SERGIO SOKOLCredential: M.D.,F.A.A.C.
Location Address35 THIXTON DR, STE KHewlett, NY 11557-2631
Mailing Address650 Central Ave, Ste KCedarhurst, NY 11516-2301 · (917) 741-8599 · Fax (516) 569-0188
Fax(516) 569-0188
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 30, 2006
Last NPPES UpdateDecember 15, 20223 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
NPI 1356398713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 205875
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

35 THIXTON DR, Hewlett, NY 11557

Other Identifiers 7

Other4889089NY · Cigna
Other677P71NY · Empire Bcbs
Other010065003NY · Americhoice
Other7819289NY · Aetna Ppo
Other1169513NY · Aetna Hmo
OtherP3654963NY · Oxford
Other2589396NY · Ghi Ppo

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sergio Sokol M.d.,f.a.a.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42293714
PECOS Enrollment IDI20040611001375
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 25

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
2,028 services507 patients
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries A9555
Rubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.
988 services494 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
910 services669 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.
717 services453 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
579 services576 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
522 services388 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11557 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low-Risk Surgery Patients 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
1875
Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
1875
Controlling High Blood Pressure 97% 34
Coronary Artery Disease (CAD): Antiplatelet Therapy 100% 29
Documentation of Current Medications in the Medical Record 100% 5492
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 100% 5492

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356398713, enumerated as an "individual" on May 30, 2006.

The provider is located at 35 THIXTON DR STE K HEWLETT, NY 11557 and the phone number is (917) 741-8599.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Cigna, Medicare, Medicaid, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.