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MATHEW GUS SOKOS M.D.
NPI 1639140759
Family Medicine in Wheeling, WV

Active since January 27, 2006PECOS Enrolled
94.1/100
CMS Quality Rating
58 16TH STREET, WHEELING CLINIC, WHEELING, WV 26003(304) 234-2004(304) 234-2006 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2022, Jan 13, 2021 (2 updates tracked since 2021).

About Mathew Gus Sokos M.d. NPPES

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

MATHEW GUS SOKOS M.D. (NPI 1639140759) is an individual family medicine provider in Wheeling, West Virginia, licensed in West Virginia (16842) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639140759
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATHEW GUS SOKOSCredential: M.D.
Location Address58 16TH STREET, WHEELING CLINICWheeling, WV 26003
Mailing Address58 16th Street, Wheeling ClinicWheeling, WV 26003 · (304) 234-2004 · Fax (304) 234-2006
Phone(304) 234-2004
Fax(304) 234-2006
Sole ProprietorYes
Enumeration DateJanuary 27, 2006
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1639140759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 16842
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.
58 16TH STREET, Wheeling, WV 26003
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Other Identifiers 2

Medicaid0053312000WV
Medicaid0875021OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mathew Gus Sokos M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.
75 services43 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services33 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers29 claims47 services$6.58 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers21 claims25 services$1.08 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims72 services$2.83 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
2 suppliers14 claims14 services$16.72 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers14 claims3,174 services$0.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims1,390 services$0.09 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 11

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

MRS. AMANDA PATRICIA WAKIM MSN,FNP-BC
Nurse Practitioner (Primary Care)
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-6410
SHASHI R URVAL MD
Internal Medicine
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-2998
FRANCES SMALTZ FNP
Nurse Practitioner (Family)
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-6410
WHEELING HOSPITAL INC
Home Health
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-4663
MRS. LISA CAROLINE HILL MD
Family Medicine
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 233-8788
MIN WANG LAC/OMD
Acupuncturist
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 234-1911
MS. CANDACE ASHLEY ISAACS MD
Family Medicine
58 16TH STREET, SUITE 200
WHEELING, WV 26003
Ohio County (304) 234-2111
KIMBERLY LYNN JUSTICE-CONLEY MSW LCSW
Social Worker (Clinical)
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-8437

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 Mathew Sokos's NPI number?

The NPI number for Mathew Sokos is 1639140759. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Mathew Sokos located?

Mathew Sokos practices at 58 16th Street Wheeling Clinic, Wheeling, WV 26003. The listed phone number is (304) 234-2004.

What is Mathew Sokos's specialty?

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

Is Mathew Sokos enrolled in Medicare?

Yes. Mathew Sokos is registered in the Medicare PECOS enrollment system.

What insurance does Mathew Sokos accept?

Health plans from CareSource and Molina Healthcare list Mathew Sokos 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.

When was this NPI record last updated?

The NPPES record for Mathew Sokos was last updated on April 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.