LINDSAY KAY SONSTEIN MD
NPI 1497959068
Internal Medicine in Galveston, TX

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
400 HARBORSIDE DR, SUITE 105, GALVESTON, TX 77555(409) 747-1883(409) 747-8579 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lindsay Kay Sonstein Md NPPES

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

LINDSAY KAY SONSTEIN MD (NPI 1497959068) is an individual internal medicine provider in Galveston, Texas, licensed in Texas (M8037) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of University Of Texas Medical Branch At Galveston (2005).

NPPES Registry Identity

NPI1497959068
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLINDSAY KAY SONSTEINCredential: MD
Location Address400 HARBORSIDE DR, SUITE 105Galveston, TX 77555-1167
Mailing Address301 University Blvd, Suite 4.174 JsaGalveston, TX 77555-0566 · (409) 772-4182 · Fax (409) 772-6507
Fax(409) 747-8579
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2005
Enumeration DateJune 14, 2007
Last NPPES UpdateAugust 27, 2014
NPI 1497959068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · M8037
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
400 HARBORSIDE DR, Galveston, TX 77555

Other Names 1

Former Name (1)Lindsay Kay Hilbert Md

Other Identifiers 1

Other2775947323Myutmb 2775947323-commercial Number

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

Lindsay Kay Sonstein 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 ID8224108972
PECOS Enrollment IDI20080606000270
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 5

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.

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.
149 services78 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 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services18 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.
17 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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
$131.16 typical visit price
range $57.19 – $173.07
Typical copayment $32.79 (range $14.29 – $43.26)
Most-billed visit code 99204
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier25 claims25 services$13.93 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
3 suppliers50 claims50 services$62.37 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$28.72 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$215.47 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.

Psychiatry & Neurology (Psychiatry)
400 HARBORSIDE DR, STE 118-119
GALVESTON, TX 77555
Internal Medicine (Geriatric Medicine)
400 HARBORSIDE DR
GALVESTON, TX 77555
Physician Assistant
400 HARBORSIDE DR, STE 109
GALVESTON, TX 77555
Family Medicine
400 HARBORSIDE DR, STE 104
GALVESTON, TX 77555
Family Medicine
400 HARBORSIDE DR, STE 104
GALVESTON, TX 77555
Psychiatry & Neurology (Psychiatry)
400 HARBORSIDE DR, STE 118-119
GALVESTON, TX 77555
Pediatrics
400 HARBORSIDE DR
GALVESTON, TX 77555
Psychiatry & Neurology (Psychiatry)
400 HARBORSIDE DR, STE 118-119
GALVESTON, TX 77555

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 Lindsay Sonstein's NPI number?

The NPI number for Lindsay Sonstein is 1497959068. It was assigned to this individual provider in the NPPES registry on June 14, 2007. The provider is also known as Lindsay Kay Hilbert MD.

Where is Lindsay Sonstein located?

Lindsay Sonstein practices at 400 Harborside Dr Suite 105, Galveston, TX 77555. The listed phone number is (409) 747-1883.

What is Lindsay Sonstein's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lindsay Sonstein enrolled in Medicare?

Yes. Lindsay Sonstein 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 Lindsay Sonstein accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Lindsay Sonstein 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 Lindsay Sonstein affiliated with any hospitals?

According to CMS data, Lindsay Sonstein is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Lindsay Sonstein was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.