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JEFFREY ROBERT SONNTAG D.O.
NPI 1467716225
Orthopaedic Surgery in Elkhart, IN

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment
78.32/100
CMS Quality Rating
2310 CALIFORNIA RD STE A, ELKHART, IN 46514(574) 264-0791 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2019, Nov 14, 2018, Aug 21, 2017 and 1 more (4 updates tracked since 2017).

About Jeffrey Robert Sonntag D.o. NPPES

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

JEFFREY ROBERT SONNTAG D.O. (NPI 1467716225) is an individual orthopaedic surgery provider in Elkhart, Indiana, licensed in Indiana (02005363A) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1467716225
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJEFFREY ROBERT SONNTAGCredential: D.O.
Location Address2310 CALIFORNIA RD STE AElkhart, IN 46514-1228
Mailing Address2310 California Rd Ste AElkhart, IN 46514-1228 · (574) 264-0791 · Fax (574) 262-5183
Phone(574) 264-0791
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2012
Enumeration DateJune 26, 2012
Last NPPES UpdateDecember 3, 20194 updates tracked since enumeration
✔ NPI 1467716225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in IN · 02005363A✔ Licensed in TX · R2019✔ Licensed in MI · 5101019939
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2310 CALIFORNIA RD STE A, Elkhart, IN 46514
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Other Identifiers 1

Medicaid300017400IN

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Robert Sonntag 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 ID3173843182
PECOS Enrollment IDI20180730002848
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 10

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
303 services52 patients
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.
150 services114 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
146 services115 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
124 services16 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
89 services63 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
66 services52 patients

Hospital Affiliations CMS Care Compare 3

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Goshen Hospital

Acute Care Hospitals · Goshen, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150026
Location200 High Park AveGoshen, IN 46526 · Elkhart County
Emergency services Birthing friendly

Parkview Lagrange Hospital

Critical Access Hospitals · Lagrange, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151323
Location207 N Townline RdLagrange, IN 46761 · Lagrange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

78.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.05
Promoting Interoperability90
Improvement Activities40
Cost78.03

Other Providers at the Same Location NPPES 5

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

ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC.
Prosthetic/Orthotic Supplier
2310 CALIFORNIA RD STE A
ELKHART, IN 46514
Elkhart County (574) 264-0791
DR. JON B SMUCKER MD
Orthopaedic Surgery (Sports Medicine)
2310 CALIFORNIA RD STE A
ELKHART, IN 46514
Elkhart County (574) 264-0791
JOHN B. DEVRIES DPT
Physical Therapist
2310 CALIFORNIA RD STE A
ELKHART, IN 46514
Elkhart County (574) 206-1401
ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC
Orthopaedic Surgery
2310 CALIFORNIA RD STE A
ELKHART, IN 46514
Elkhart County (574) 264-0791
DR. DAVID JAMES POPE M.D.
Orthopaedic Surgery (Hand Surgery)
2310 CALIFORNIA RD STE A
ELKHART, IN 46514
Elkhart County (574) 264-0791

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 Jeffrey Sonntag's NPI number?

The NPI number for Jeffrey Sonntag is 1467716225. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Jeffrey Sonntag located?

Jeffrey Sonntag practices at 2310 California Rd Ste A, Elkhart, IN 46514. The listed phone number is (574) 264-0791.

What is Jeffrey Sonntag's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jeffrey Sonntag enrolled in Medicare?

Yes. Jeffrey Sonntag 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 Jeffrey Sonntag accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jeffrey Sonntag 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 Jeffrey Sonntag affiliated with any hospitals?

According to CMS data, Jeffrey Sonntag is affiliated with Elkhart General Hospital, Goshen Hospital and Parkview Lagrange Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Sonntag was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.