SOPHIA SARKOS MD
NPI 1720017643
Ophthalmology in Downers Grove, IL

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
99.26/100
CMS Quality Rating
4958 FOREST AVE, DOWNERS GROVE, IL 60515(630) 737-1001(630) 737-1003 Get Directions Write a Review

NPPES record last updated: July 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2017, Jan 23, 2017 (2 updates tracked since 2017).

About Sophia Sarkos Md NPPES

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

SOPHIA SARKOS MD (NPI 1720017643) is an individual ophthalmology provider in Downers Grove, Illinois, licensed in Illinois (036112315) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Ohio State University College Of Medicine (1993).

NPPES Registry Identity

NPI1720017643
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSOPHIA SARKOSCredential: MD
Location Address4958 FOREST AVEDowners Grove, IL 60515-3508
Mailing Address4958 Forest AveDowners Grove, IL 60515-3508 · (630) 737-1001 · Fax (630) 737-1003
Fax(630) 737-1003
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1993
Enumeration DateJuly 2, 2006
Last NPPES UpdateJuly 19, 20172 updates tracked since enumeration
NPI 1720017643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IL · 036112315
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License 036112315 (IL)
4958 FOREST AVE, Downers Grove, IL 60515

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

Sophia Sarkos 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 ID4385695006
PECOS Enrollment IDI20050209000955
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 13

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
800 services605 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
437 services397 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
426 services336 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
383 services274 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
282 services227 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
166 services150 patients

Hospital Affiliations CMS Care Compare

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

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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.

99.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost97.55

Other Providers at the Same Location NPPES 5

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

Ophthalmology
4958 FOREST AVE
DOWNERS GROVE, IL 60515
Optometrist
4958 FOREST AVE
DOWNERS GROVE, IL 60515
Optometrist
4958 FOREST AVE
DOWNERS GROVE, IL 60515
Ophthalmology
4958 FOREST AVE
DOWNERS GROVE, IL 60515
Optometrist
4958 FOREST AVE
DOWNERS GROVE, IL 60515

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 Sarkos's NPI number?

The NPI number for Sophia Sarkos is 1720017643. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Sophia Sarkos located?

Sophia Sarkos practices at 4958 Forest Ave, Downers Grove, IL 60515. The listed phone number is (630) 737-1001.

What is Sophia Sarkos's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sophia Sarkos enrolled in Medicare?

Yes. Sophia Sarkos 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.

Is Sophia Sarkos affiliated with any hospitals?

According to CMS data, Sophia Sarkos is affiliated with Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Sophia Sarkos was last updated on July 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.