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SOPHIA POTHEN DO
NPI 1679151732
Family Medicine in Orlando, FL

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
904 LEE RD STE 200, ORLANDO, FL 32810(407) 723-7373(407) 723-4842 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sophia Pothen Do NPPES

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

SOPHIA POTHEN DO (NPI 1679151732) is an individual family medicine provider in Orlando, Florida, licensed in Florida (OS20981) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Liberty Univ College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1679151732
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOPHIA POTHENCredential: DO
Location Address904 LEE RD STE 200Orlando, FL 32810-5561
Mailing Address904 Lee Rd Ste 200Orlando, FL 32810-5561 · (407) 723-7373 · Fax (407) 723-4842
Phone(407) 723-7373
Fax(407) 723-4842
Sole ProprietorNo
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1679151732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS20981
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.
904 LEE RD STE 200, Orlando, FL 32810
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Other Identifiers 1

Medicaid353616220012VA

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

Sophia Pothen Do 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 ID3072912658
PECOS Enrollment IDI20240531003889
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 Reassignment

Medicare enrollment records show Sophia Pothen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dedicated Senior Medical Center Of Florida, LLC
74 mi
Specialist
1901 FLETCHER AVENUE
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 348 clinicians in this Medicare group
NPI 1700393881 (305) 628-6117

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32810 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 9

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

BIANCA IOANA DUBOVAN MD
Family Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 732-7373
DR. ROZA SABRI MD
Family Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 732-7373
DEDICATED SENIOR MEDICAL CENTERS OF FLORIDA, LLC
Non-Pharmacy Dispensing Site
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 723-7373
TOLULOPE OLAKUNLE ABIKOYE MD MPH
Family Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 732-7373
MR. JUAN CAMILO GARCIA SAUCEDO MD
Internal Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 723-7373
TIMOTHY CHAN DO
Family Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 723-7373
JORDAN CLEAR DO
Student in an Organized Health Care Education/Training Program
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 723-7373
DR. ANDREA NALBORCZYK MD
Family Medicine
904 LEE RD STE 200
ORLANDO, FL 32810
Orange County (407) 723-7373

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 Pothen's NPI number?

The NPI number for Sophia Pothen is 1679151732. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Sophia Pothen located?

Sophia Pothen practices at 904 Lee Rd Ste 200, Orlando, FL 32810. The listed phone number is (407) 723-7373.

What is Sophia Pothen's specialty?

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

Is Sophia Pothen enrolled in Medicare?

Yes. Sophia Pothen 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 organization bills Medicare for Sophia Pothen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Pothen reassigns Medicare benefits to Dedicated Senior Medical Center Of Florida, LLC (Tampa, FL). The 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 Sophia Pothen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sophia Pothen was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.