SOPHY PAULINO MD
NPI 1366948135
Obstetrics & Gynecology in Farmington, CT
About Sophy Paulino Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHY PAULINO MD (NPI 1366948135) is an individual obstetrics & gynecology provider in Farmington, Connecticut, licensed in Connecticut (72010) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Sophy Paulino 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sophy Paulino reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Britain, CT 06052
- Reassigned Medicare billing, Connecticut enrollment
- 468 clinicians in this Medicare group
New Britain, CT 06052
- Reassigned Medicare billing, Connecticut enrollment
- 745 clinicians in this Medicare group
Rocky Hill, CT 06067
- Reassigned Medicare billing, Connecticut enrollment
- 371 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
FARMINGTON, CT 06030
FARMINGTON, CT 06030
FARMINGTON, CT 06030
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 Sophy Paulino's NPI number?
The NPI number for Sophy Paulino is 1366948135. It was assigned to this individual provider in the NPPES registry on April 2, 2018.
Where is Sophy Paulino located?
Sophy Paulino practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-2147.
What is Sophy Paulino's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Sophy Paulino enrolled in Medicare?
Yes. Sophy Paulino 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 Sophy Paulino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sophy Paulino reassigns Medicare benefits to 3 organizations: Starling Physicians, PLLC (New Britain, CT), The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT) and Physicians For Women's Health LLC (Rocky Hill, CT). 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 Sophy Paulino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sophy Paulino accept?
Health plans from Anthem Blue Cross and Blue Shield list Sophy Paulino 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 Sophy Paulino was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.