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SOPHIA TSIRIS KUNKLE MD
NPI 1497216519
Family Medicine in Pittsburgh, PA

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
147 TOWNE SQUARE WAY, PITTSBURGH, PA 15227(412) 942-1085(412) 942-0855 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2025, Oct 18, 2023, Aug 29, 2023 and 3 more (6 updates tracked since 2019).

About Sophia Tsiris Kunkle Md NPPES

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

SOPHIA TSIRIS KUNKLE MD (NPI 1497216519) is an individual family medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD476796) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Heritage Valley Beaver, and maintains a secondary practice location in Beaver Falls.

NPPES Registry Identity

NPI1497216519
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOPHIA TSIRIS KUNKLECredential: MD
Location Address147 TOWNE SQUARE WAYPittsburgh, PA 15227-3259
Mailing Address147 Towne Square WayPittsburgh, PA 15227-3259 · (412) 942-1085 · Fax (412) 942-0855
Phone(412) 942-1085
Fax(412) 942-0855
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateNovember 4, 20256 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1497216519 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 · MD476796
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.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD476796 (PA)
147 TOWNE SQUARE WAY, Pittsburgh, PA 15227
Open in Google Maps ↗

Other Names 1

Former Name (1)Sophia I Tsiris

Secondary Practice Location 1

Location 11302 7th AveBeaver Falls, PA 15010-4217 · Phone (724) 843-4010 · Fax (724) 846-0588

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

Sophia Tsiris Kunkle 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 ID5294069704
PECOS Enrollment IDI20220721001289
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.

Hospital Affiliations CMS Care Compare

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

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15227 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Other Providers at the Same Location NPPES 15

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

PRAISE AUGUSTUS MD
Obstetrics & Gynecology
147 TOWNE SQUARE WAY
PITTSBURGH, PA 15227
Allegheny County (412) 942-1085
KATHRYN SIMONS M.D.
Obstetrics & Gynecology
147 TOWNE SQUARE WAY
PITTSBURGH, PA 15227
Allegheny County (412) 942-1085
CHRISTINA M LABELLA MD
Obstetrics & Gynecology
147 TOWNE SQUARE WAY
PITTSBURGH, PA 15227
Allegheny County (412) 942-1085
JOAN M GREGORY CRNP
Nurse Practitioner (Women's Health)
147 TOWNE SQUARE WAY
PITTSBURGH, PA 15227
Allegheny County (412) 942-1085
KAREN A ROPERTI MD
Obstetrics & Gynecology
147 TOWNE SQUARE WAY
PITTSBURGH, PA 15227
Allegheny County (412) 942-1085
CHRISTINE M GALLIS MD
Obstetrics & Gynecology
147 TOWNE SQUARE WAY
PITTSBURGH, PA 15227
Allegheny County (412) 942-1085
DANIELLE C MURGENOVICH CRNP
Nurse Practitioner (Family)
147 TOWNE SQUARE WAY
PITTSBURGH, PA 15227
Allegheny County (412) 942-1085
CHARLIE MAUREEN MILLER M.D.
Obstetrics & Gynecology
147 TOWNE SQUARE WAY
PITTSBURGH, PA 15227
Allegheny County (412) 942-1085

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 Sophia Kunkle's NPI number?

The NPI number for Sophia Kunkle is 1497216519. It was assigned to this individual provider in the NPPES registry on March 29, 2019. The provider is also known as Sophia I Tsiris.

Where is Sophia Kunkle located?

Sophia Kunkle practices at 147 Towne Square Way, Pittsburgh, PA 15227. The listed phone number is (412) 942-1085.

What is Sophia Kunkle's specialty?

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

Is Sophia Kunkle enrolled in Medicare?

Yes. Sophia Kunkle 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 Sophia Kunkle accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource and 1 other insurer list Sophia Kunkle 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 Sophia Kunkle affiliated with any hospitals?

According to CMS data, Sophia Kunkle is affiliated with Heritage Valley Beaver.

When was this NPI record last updated?

The NPPES record for Sophia Kunkle was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.