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SOPHIA KOGAN MD
NPI 1366836736
Psychiatry & Neurology - Psychiatry in Worcester, MA

Active since March 24, 2015PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
100 CENTURY DR, WORCESTER, MA 01606(508) 762-5400(508) 762-5410 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2022, Nov 4, 2020, Sep 1, 2020 and 1 more (4 updates tracked since 2019).

About Sophia Kogan Md NPPES

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

SOPHIA KOGAN MD (NPI 1366836736) is an individual psychiatry provider in Worcester, Massachusetts, licensed in Massachusetts (283669) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2015).

NPPES Registry Identity

NPI1366836736
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSOPHIA KOGANCredential: MD
Location Address100 CENTURY DRWorcester, MA 01606-1244
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885
Phone(508) 762-5400
Fax(508) 762-5410
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2015
Enumeration DateMarch 24, 2015
Last NPPES UpdateJanuary 28, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2022
✔ NPI 1366836736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · 283669
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
100 CENTURY DR, Worcester, MA 01606
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Other Identifiers 1

Medicaid110165729AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Sophia Kogan Md 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 ID4486998648
PECOS Enrollment IDI20201007002425
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 3

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 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.
119 services22 patients
Therapy using electrical currents 90870
Therapy using electrical currents, also known as electrotherapy, involves applying small electrical pulses to your body to stimulate healing. It can help manage pain, improve circulation, repair tissues, and strengthen muscles. It's a safe, non-invasive treatment often used in physical therapy.
62 services15 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
32 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

DR. JOSHUA HAUGH DO
Psychiatry & Neurology (Psychiatry)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400
DR. CATHRYN WILLIAMS PSY.D
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-6400
KARA NAYLON PSYD
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400
RACHEL E. LAMBERT FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400
MS. CHERYL LYNN CATOGGIO R.PH
Pharmacist
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 421-5819
URSULA SAWICKI MAKRUM PMH CNS-BC
Clinical Nurse Specialist (Psychiatric/Mental Health)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400
DALTON T MOURAO MD
Student in an Organized Health Care Education/Training Program
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 334-1000
MELISSA L ANDERSON PH.D.
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Worcester County (508) 762-5400

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 Kogan's NPI number?

The NPI number for Sophia Kogan is 1366836736. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Where is Sophia Kogan located?

Sophia Kogan practices at 100 Century Dr, Worcester, MA 01606. The listed phone number is (508) 762-5400.

What is Sophia Kogan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sophia Kogan enrolled in Medicare?

Yes. Sophia Kogan 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 Kogan accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Sophia Kogan 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 Sophia Kogan was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.