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DR. JERZY A SOPALA MD
NPI 1629055033
Internal Medicine in Asheboro, NC

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
88.68/100
CMS Quality Rating
132A W MILLER ST, ASHEBORO, NC 27203(336) 625-3248(336) 625-6629 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jerzy A Sopala Md NPPES

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

DR. JERZY A SOPALA MD (NPI 1629055033) is an individual internal medicine provider in Asheboro, North Carolina and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1629055033
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JERZY A SOPALACredential: MD
Location Address132A W MILLER STAsheboro, NC 27203-4706
Mailing Address2108 San Fernando DrHigh Point, NC 27265-9643 · (336) 885-3058
Phone(336) 625-3248
Fax(336) 625-6629
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateDecember 28, 2005
Last NPPES UpdateJuly 12, 2007
✔ NPI 1629055033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
132A W MILLER ST, Asheboro, NC 27203
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Other Identifiers 3

Medicare UPINH34172NC
Medicare ID-Type Unspecified2284802NC · Medicare
Medicaid89128JENC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerzy A Sopala 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 ID3678575537
PECOS Enrollment IDI20070206000024
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Jerzy Sopala reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Healthcare Systems, LLC
Same address
Urology
132 W MILLER ST STE C
Asheboro, NC 27203
  • Reassigned Medicare billing, North Carolina enrollment
  • 98 clinicians in this Medicare group
NPI 1508451642 (336) 521-4928
Quantum Health Group, P.A.
0.2 mi
Hospitalist
364 WHITE OAK ST
Asheboro, NC 27203
  • Reassigned Medicare billing, North Carolina enrollment
  • 9 clinicians in this Medicare group
NPI 1750407102 (336) 633-7723
Moses Cone Physician Services, Inc.
19 mi
Family Medicine
4620 WOODY MILL RD STE G
Greensboro, NC 27406
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
NPI 1811424849 (336) 907-3907
Fhpg, LLC
23 mi
Family Medicine
300 S MIDDLETON ST
Robbins, NC 27325
  • Reassigned Medicare billing, North Carolina enrollment
  • 333 clinicians in this Medicare group
NPI 1508237967 (910) 948-2911
Piedmont Adult & geriatric Medicine, PLLC
24 mi
Medical Specialty
2108 SAN FERNANDO DR
High Point, NC 27265
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1437259983 (336) 885-3058
Vital Health Partners LLC
676 mi
Hospitalist
6600 COW PEN RD STE 205
Miami Lakes, FL 33014
  • Reassigned Medicare billing, North Carolina enrollment
  • 32 clinicians in this Medicare group
NPI 1043101207 (786) 985-3895

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
469 services201 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
342 services325 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
204 services50 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.
115 services114 patients
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.
108 services75 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.
82 services82 patients

Hospital Affiliations CMS Care Compare 2

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Randolph Hospital

Acute Care Hospitals · Asheboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340123
Location364 White Oak StreetAsheboro, NC 27204 · Randolph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27203 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

88.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.59
Promoting Interoperability96
Improvement Activities40
Cost84.03

Referred Medical Equipment & Supplies CMS DME claims 14

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers20 claims20 services$55.72 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
5 suppliers13 claims13 services$58.02 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers25 claims28 services$54.47 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers56 claims56 services$19.25 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers51 claims51 services$5.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jerzy Sopala's NPI number?

The NPI number for Jerzy Sopala is 1629055033. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Jerzy Sopala located?

Jerzy Sopala practices at 132A W Miller St, Asheboro, NC 27203. The listed phone number is (336) 625-3248.

What is Jerzy Sopala's specialty?

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

Is Jerzy Sopala enrolled in Medicare?

Yes. Jerzy Sopala 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.

Which organizations bill Medicare for Jerzy Sopala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerzy Sopala reassigns Medicare benefits to 6 organizations: American Healthcare Systems, LLC (Asheboro, NC), Quantum Health Group, P.A. (Asheboro, NC), Moses Cone Physician Services, Inc. (Greensboro, NC), Fhpg, LLC (Robbins, NC), Piedmont Adult & geriatric Medicine, PLLC (High Point, NC) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerzy Sopala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerzy Sopala accept?

Health plans from Cigna Healthcare list Jerzy Sopala 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 Jerzy Sopala affiliated with any hospitals?

According to CMS data, Jerzy Sopala is affiliated with Firsthealth Moore Regional Hospital and Randolph Hospital.

When was this NPI record last updated?

The NPPES record for Jerzy Sopala was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.