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DR. SOPHIE GERBER M.D.
NPI 1366888695
Pediatrics in Fishers, IN

Active since May 14, 2013PECOS Enrolled
13121 OLIO RD STE 340, FISHERS, IN 46037(317) 621-7337(317) 621-7330 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 1, 2020, Sep 21, 2018 (2 updates tracked since 2018).

About Dr. Sophie Gerber M.d. NPPES

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

DR. SOPHIE GERBER M.D. (NPI 1366888695) is an individual pediatrics provider in Fishers, Indiana, licensed in Indiana (01078023A) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1366888695
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SOPHIE GERBERCredential: M.D.
Location Address13121 OLIO RD STE 340Fishers, IN 46037-7240
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-9312
Phone(317) 621-7337
Fax(317) 621-7330
Sole ProprietorNo
Enumeration DateMay 14, 2013
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2020
✔ NPI 1366888695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01078023A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 01078023A (IN)
13121 OLIO RD STE 340, Fishers, IN 46037
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Secondary Practice Location 1

Location 1355 W 16th St, Suite 2800Indianapolis, IN 46202-2207 · Phone (317) 963-7307

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sophie Gerber M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Sophie Gerber reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Hospital Of Indiana, Inc
8.4 mi
Family Medicine
8177 CLEARVISTA PKWY
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Community Health Network Inc
  • 175 clinicians in this Medicare group
NPI 1063465946 (317) 621-7801
Community Physicians Of Indiana Inc
9.4 mi
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
NPI 1619105244 (317) 355-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46037 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES

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

QUINN DANIELLE BENSI MD
Pediatrics
13121 OLIO RD STE 340
FISHERS, IN 46037
Hamilton County (317) 621-7337

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 Sophie Gerber's NPI number?

The NPI number for Sophie Gerber is 1366888695. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Sophie Gerber located?

Sophie Gerber practices at 13121 Olio Rd Ste 340, Fishers, IN 46037. The listed phone number is (317) 621-7337.

What is Sophie Gerber's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sophie Gerber enrolled in Medicare?

Yes. Sophie Gerber is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sophie Gerber's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophie Gerber reassigns Medicare benefits to 2 organizations: Community Hospital Of Indiana, Inc (Indianapolis, IN) and Community Physicians Of Indiana Inc (Indianapolis, IN). 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 Sophie Gerber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophie Gerber accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 1 other insurer list Sophie Gerber 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 Sophie Gerber was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.