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DR. SOPHIA A SIBOLD D.O.
NPI 1366440661
Family Medicine in Union, WV

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
200 HEALTH CENTER DRIVE, UNION, WV 24983(304) 772-3064(304) 772-3296 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sophia A Sibold D.o. NPPES

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

DR. SOPHIA A SIBOLD D.O. (NPI 1366440661) is an individual family medicine provider in Union, West Virginia, licensed in West Virginia (2102) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Carilion Giles Community Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1366440661
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SOPHIA A SIBOLDCredential: D.O.
Location Address200 HEALTH CENTER DRIVEUnion, WV 24983-0000
Mailing AddressPo Box 590Union, WV 24983-0590 · (304) 772-3064 · Fax (304) 772-3296
Phone(304) 772-3064
Fax(304) 772-3296
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2000
Enumeration DateJuly 11, 2005
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1366440661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 2102
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 HEALTH CENTER DRIVE, Union, WV 24983
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Other Names 1

Former Name (1)Dr. Sophia A Simms D.o.

Other Identifiers 8

OtherVAA104451VA · Group Ptan
Other8130658WV · Mamsi
Other001714321WV · Bc/bs
Other176557WV · Anthem Bc/bs-union
Other176558WV · Peterstown
Medicaid3810001719WV
Other5611053WV · Aetna
OtherP00206497WV · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sophia A Sibold D.o. 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 ID3476502964
PECOS Enrollment IDI20050122000024, I20050315000160
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 7

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
84 services62 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
64 services52 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
62 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
32 services28 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
22 services22 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Carilion Giles Community Hospital

Critical Access Hospitals · Pearisburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491302
Location159 Hartley WayPearisburg, VA 24134 · Giles County
Emergency services

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510002
Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County
Emergency services Birthing friendly

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24983 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers42 claims96 services$4.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims17 services$0.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers11 claims29 services$38.26 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers13 claims73 services$2.73 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers23 claims23 services$39.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers36 claims36 services$101.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

MR. STEVEN K JAMESON DO
Family Medicine
200 HEALTH CENTER DRIVE
UNION, WV 24983
Monroe County (304) 772-3064
MARIE B FEARON-JEWELL DO
Family Medicine
200 HEALTH CENTER DRIVE
UNION, WV 24983
Monroe County (304) 772-3064
MOUNTAIN VIEW SCHOOL
Family Medicine
200 HEALTH CENTER DRIVE
UNION, WV 24983
Monroe County (304) 772-3064
DR. JAMES H WRIGHT D.O
Family Medicine
200 HEALTH CENTER DRIVE
UNION, WV 24983
Monroe County (304) 772-3064
ERICA DOWDY PA
Physician Assistant
200 HEALTH CENTER DRIVE, MONROE HEALTH CENTER
UNION, WV 24983
Monroe County (304) 772-3064
MONROE HEALTH CENTER-UNION LAB
Clinical Medical Laboratory
200 HEALTH CENTER DRIVE
UNION, WV 24983
Monroe County (304) 772-3064
ROBIN LYNN JOHNSON FNP-BC
Nurse Practitioner (Family)
200 HEALTH CENTER DRIVE
UNION, WV 24983
Monroe County (304) 772-3064
MONROE COUNTY HEALTH CENTER BOARD OF TRUSTEES
Clinic/Center (Federally Qualified Health Center (FQHC))
200 HEALTH CENTER DRIVE
UNION, WV 24983
Monroe County (304) 772-3064

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 Sibold's NPI number?

The NPI number for Sophia Sibold is 1366440661. It was assigned to this individual provider in the NPPES registry on July 11, 2005. The provider is also known as Dr. Sophia A Simms D.O..

Where is Sophia Sibold located?

Sophia Sibold practices at 200 Health Center Drive, Union, WV 24983. The listed phone number is (304) 772-3064.

What is Sophia Sibold's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sophia Sibold enrolled in Medicare?

Yes. Sophia Sibold 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.

What insurance does Sophia Sibold accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Sophia Sibold 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 Sibold affiliated with any hospitals?

According to CMS data, Sophia Sibold is affiliated with Carilion Giles Community Hospital, Camc Greenbrier Valley Medical Center, Inc and Princeton Community Hospital.

When was this NPI record last updated?

The NPPES record for Sophia Sibold was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.