SONYA ELNAGGAR MD
NPI 1487145363
Family Medicine in Quakertown, PA

Active since May 25, 2018PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
3000 ST LUKES DR, QUAKERTOWN, PA 18951(866) 785-8537 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sonya Elnaggar Md NPPES

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

SONYA ELNAGGAR MD (NPI 1487145363) is an individual family medicine provider in Quakertown, Pennsylvania, licensed in Pennsylvania (MD475584) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1487145363
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSONYA ELNAGGARCredential: MD
Location Address3000 ST LUKES DRQuakertown, PA 18951-1696
Mailing Address3000 St Lukes DrQuakertown, PA 18951-1696 · (908) 847-3385 · Fax (908) 847-2889
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 25, 2018
Last NPPES UpdateJune 23, 2022
NPPES CertifiedNovember 12, 2021
NPI 1487145363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD475584
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.
3000 ST LUKES DR, Quakertown, PA 18951

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

Sonya Elnaggar 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 ID2163814328
PECOS Enrollment IDI20220120000070
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
469 services197 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
187 services173 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
142 services133 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services38 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18951 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Physician Assistant
3000 ST LUKES DR
QUAKERTOWN, PA 18951
Internal Medicine
3000 ST LUKES DR
QUAKERTOWN, PA 18951
Nurse Practitioner
3000 ST LUKES DR
QUAKERTOWN, PA 18951
Physician Assistant
3000 ST LUKES DR
QUAKERTOWN, PA 18951
Midwife
3000 ST LUKES DR
QUAKERTOWN, PA 18951
Internal Medicine (Hematology & Oncology)
3000 ST LUKES DR
QUAKERTOWN, PA 18951
General Acute Care Hospital
3000 ST LUKES DR
QUAKERTOWN, PA 18951
Nurse Practitioner
3000 ST LUKES DR
QUAKERTOWN, PA 18951

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 Sonya Elnaggar's NPI number?

The NPI number for Sonya Elnaggar is 1487145363. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Sonya Elnaggar located?

Sonya Elnaggar practices at 3000 St Lukes Dr, Quakertown, PA 18951. The listed phone number is (866) 785-8537.

What is Sonya Elnaggar's specialty?

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

Is Sonya Elnaggar enrolled in Medicare?

Yes. Sonya Elnaggar 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.

Is Sonya Elnaggar affiliated with any hospitals?

According to CMS data, Sonya Elnaggar is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem and St Luke's Miners Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sonya Elnaggar was last updated on June 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.