EDGAR SOSA D.O.
NPI 1699938472
Surgery - Plastic and Reconstructive Surgery in Vero Beach, FL

Q: What is Edgar Sosa's NPI number?

The NPI number for Edgar Sosa is 1699938472. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Q: What is Edgar Sosa's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Sosa was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment

5070 HIGHWAY A1A STE A, VERO BEACH, FL 32963(772) 234-3700(772) 234-3770 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 18, 2025, Apr 24, 2021, May 14, 2020 and 4 more (7 updates tracked since 2017).

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About Edgar Sosa D.o. NPPES

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

EDGAR SOSA D.O. (NPI 1699938472) is an individual plastic and reconstructive surgery provider in Vero Beach, Florida, licensed in Florida (OS-14580) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1699938472

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameEDGAR SOSACredential: D.O.

Location Address5070 HIGHWAY A1A STE AVero Beach, FL 32963-1229

Mailing Address5070 Highway A1a Ste AVero Beach, FL 32963-1229 · (772) 234-3700 · Fax (772) 234-3770

Phone(772) 234-3700

Fax(772) 234-3770

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 2, 2008

Last NPPES UpdateFebruary 18, 20257 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2025

✔ NPI 1699938472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in FL · OS-14580

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License OS-14580 (FL)

5070 HIGHWAY A1A STE A, Vero Beach, FL 32963

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida.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

Edgar Sosa D.o. 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 ID5294979415

PECOS Enrollment IDI20181207001434

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 Edgar Sosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orlando Center For Advanced Plastic Surgery, LLC

96 mi

Plastic Surgery

4106 W LAKE MARY BLVD STE 212
Lake Mary, FL 32746

Reassigned Medicare billing, Florida enrollment

NPI 1255856589 (407) 333-2525

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 2

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.

23 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Other Providers at the Same Location NPPES 2

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

SHERILYN RIVERA PA

Physician Assistant

5070 HIGHWAY A1A STE A
VERO BEACH, FL 32963

Indian River County (772) 234-3700

MRS. CYNTHIA CATHERINE WALLACE P.A.

Physician Assistant (Surgical)

5070 HIGHWAY A1A STE A
VERO BEACH, FL 32963

Indian River County (954) 531-9433

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 Edgar Sosa's NPI number?

The NPI number for Edgar Sosa is 1699938472. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Edgar Sosa located?

Edgar Sosa practices at 5070 Highway A1a Ste A, Vero Beach, FL 32963. The listed phone number is (772) 234-3700.

What is Edgar Sosa's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Edgar Sosa enrolled in Medicare?

Yes. Edgar Sosa 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 Edgar Sosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Sosa reassigns Medicare benefits to Orlando Center For Advanced Plastic Surgery, LLC (Lake Mary, 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 Edgar Sosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgar Sosa accept?

Health plans from Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Edgar Sosa 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 Edgar Sosa was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.