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DR. SONIA MARIE MATTHEWS MD
NPI 1750439279
Obstetrics & Gynecology in East Alton, IL

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
2 TERMINAL DR, SUITE 8, EAST ALTON, IL 62024(618) 258-8460(618) 258-0489 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, May 17, 2021 (2 updates tracked since 2021).

About Dr. Sonia Marie Matthews Md NPPES

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

DR. SONIA MARIE MATTHEWS MD (NPI 1750439279) is an individual obstetrics & gynecology provider in East Alton, Illinois, licensed in Illinois (036131865) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2002).

NPPES Registry Identity

NPI1750439279
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SONIA MARIE MATTHEWSCredential: MD
Location Address2 TERMINAL DR, SUITE 8East Alton, IL 62024-2201
Mailing Address2 Terminal Dr, Suite 8East Alton, IL 62024-2201 · (618) 258-8460 · Fax (618) 258-0489
Phone(618) 258-8460
Fax(618) 258-0489
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2002
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMay 17, 2021
✔ NPI 1750439279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in IL · 036131865✔ Licensed in AZ · 36348
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2 TERMINAL DR, East Alton, IL 62024
Open in Google Maps ↗

Other Identifiers 2

Medicaid214276AZ
Other9009992Abog Board Certified

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

Dr. Sonia Marie Matthews 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 ID3870595671
PECOS Enrollment IDI20230428001360
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62024 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
74%151 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
88%508 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%831 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
22%115 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%319 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
80%843 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
67%653 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 553 patients
Patients tobacco: 17% · 116 patients
75%553 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%843 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
21%843 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
27%843 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

FACCIN CHIROPRACTIC, PC
Chiropractor
2 TERMINAL DR, SUITE 8B
EAST ALTON, IL 62024
Madison County (618) 258-8610
HEIDI FIELDS APN, NP-C
Nurse Practitioner (Family)
2 TERMINAL DR, SUITE 8
EAST ALTON, IL 62024
Madison County (618) 258-0485
NURSES STATION, P.C.
Registered Nurse
2 TERMINAL DR, SUITE 1
EAST ALTON, IL 62024
Madison County (618) 259-7781
AFFIANCE HOME HEALTH SERVICES, LLC
Home Health
2 TERMINAL DR, SUITE 19
EAST ALTON, IL 62024
Madison County (618) 258-1500
DR. CHRISTOPHER DEAN SUHRE MD
Pediatrics
2 TERMINAL DR, SUITE 8
EAST ALTON, IL 62024
Madison County (618) 259-1419
DR. SOONTORN THRUPKAEW MD
Obstetrics & Gynecology
2 TERMINAL DR, SUITE 8
EAST ALTON, IL 62024
Madison County (618) 258-0485
DR. FEI-TUNG LEU MD
Pediatrics
2 TERMINAL DR, SUITE 8
EAST ALTON, IL 62024
Madison County (618) 259-1419
CYNTHIA H DORMANS LCSW
Social Worker (Clinical)
2 TERMINAL DR
EAST ALTON, IL 62024
Madison County (618) 259-1419

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 Matthews's NPI number?

The NPI number for Sonia Matthews is 1750439279. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Sonia Matthews located?

Sonia Matthews practices at 2 Terminal Dr Suite 8, East Alton, IL 62024. The listed phone number is (618) 258-8460.

What is Sonia Matthews's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sonia Matthews enrolled in Medicare?

Yes. Sonia Matthews 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.

When was this NPI record last updated?

The NPPES record for Sonia Matthews was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.