MRS. SONIA ELENA SOSA M.D.
NPI 1396949749
Family Medicine in Portland, OR

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Sonia Elena Sosa M.d. NPPES

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

MRS. SONIA ELENA SOSA M.D. (NPI 1396949749) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD29438) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2007).

NPPES Registry Identity

NPI1396949749
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. SONIA ELENA SOSACredential: M.D.
Location Address12360 E BURNSIDE STPortland, OR 97233-1042
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (971) 217-9088 · Fax (503) 621-2235
Fax(971) 279-2051
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2007
Enumeration DateJune 11, 2007
Last NPPES UpdateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
NPI 1396949749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · MD29438
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.

12360 E BURNSIDE ST, Portland, OR 97233

Other Names 1

Professional Name (2)Sonia Elena Sosa Md

Secondary Practice Location 1

Location 1703 NE Hancock StPortland, OR 97212-3955 · Phone (503) 230-9875 · Fax (503) 331-3441

Accepted 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

Mrs. Sonia Elena Sosa M.d. 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 ID8123209095
PECOS Enrollment IDI20110224000974
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

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97233 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
3 suppliers13 claims23 services$6.29 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
1 supplier12 claims12 services$61.89 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 20

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

Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse (Women's Health Care, Ambulatory)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Student in an Organized Health Care Education/Training Program
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Pharmacy Technician
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233

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 Sonia Sosa's NPI number?

The NPI number for Sonia Sosa is 1396949749. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Sonia Sosa located?

Sonia Sosa practices at 12360 E Burnside St, Portland, OR 97233. The listed phone number is (971) 279-4800.

What is Sonia Sosa's specialty?

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

Is Sonia Sosa enrolled in Medicare?

Yes. Sonia Sosa 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 Sonia Sosa accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Sonia Sosa 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 Sonia Sosa was last updated on December 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.