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SONIA GEORGE
NPI 1720462567
Nurse Practitioner - Family in Oklahoma City, OK

Active since July 10, 2015PECOS EnrolledAccepts Medicare Assignment
85.7/100
CMS Quality Rating
4201 S WESTERN AVE, OKLAHOMA CITY, OK 73109(405) 632-4000(405) 632-4073 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sonia George NPPES

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

SONIA GEORGE (NPI 1720462567) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (R0101191) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720462567
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSONIA GEORGE
Location Address4201 S WESTERN AVEOklahoma City, OK 73109-3410
Mailing Address4201 S Western AveOklahoma City, OK 73109-3410 · (405) 632-4000 · Fax (405) 632-4073
Phone(405) 632-4000
Fax(405) 632-4073
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 10, 2015
Last NPPES UpdateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1720462567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · R0101191
4201 S WESTERN AVE, Oklahoma City, OK 73109
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.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

Sonia George 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 ID8820391519
PECOS Enrollment IDI20160130000180
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

2

Medicare enrollment records show Sonia George reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care Of Oklahoma, Inc
1.6 mi
Psychiatry
2129 SW 59TH ST
Oklahoma City, OK 73119
  • Reassigned Medicare billing, Oklahoma enrollment
  • 212 clinicians in this Medicare group
NPI 1184723678 (405) 713-5790
Saints Medical Group, LLC
7.9 mi
Family Medicine
777 NW 63RD ST STE 452
Oklahoma City, OK 73116
  • Reassigned Medicare billing, Oklahoma enrollment
  • 507 clinicians in this Medicare group
NPI 1437195922 (405) 231-3857

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 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.

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.
206 services135 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73109 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

85.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.33
Promoting Interoperability100
Improvement Activities40
Cost62.01

Other Providers at the Same Location NPPES 6

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

EMMA SOLES
Physician Assistant
4201 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-4000
DR. ROBERT LYON WILSON M.D.
Internal Medicine (Gastroenterology)
4201 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-4000
SON NGUYEN M.D.
Internal Medicine (Gastroenterology)
4201 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-4000
DR. ROSS STANFORD KEENER M.D.
Internal Medicine (Gastroenterology)
4201 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (406) 632-4000
INTEGRIS DDSI ENDOSCOPY CENTERS LLC
Clinic/Center (Ambulatory Surgical)
4201 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-4000
DR. DAN RAYMOND NORTHEY M.D.
Internal Medicine (Gastroenterology)
4201 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-4000

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 Sonia George's NPI number?

The NPI number for Sonia George is 1720462567. It was assigned to this individual provider in the NPPES registry on July 10, 2015.

Where is Sonia George located?

Sonia George practices at 4201 S Western Ave, Oklahoma City, OK 73109. The listed phone number is (405) 632-4000.

What is Sonia George's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sonia George enrolled in Medicare?

Yes. Sonia George 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 Sonia George's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia George reassigns Medicare benefits to 2 organizations: Ssm Health Care Of Oklahoma, Inc (Oklahoma City, OK) and Saints Medical Group, LLC (Oklahoma City, OK). 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 Sonia George's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia George accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Sonia George 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 Sonia George affiliated with any hospitals?

According to CMS data, Sonia George is affiliated with Ssm Health St Anthony Hospital - Oklahoma City and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Sonia George was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.