SONDRA IACULLO BOGURSKY MD
NPI 1790711059
Internal Medicine in Waterbury, CT

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
95 SCOVILL ST, 3RD FLOOR, WATERBURY, CT 06706(203) 709-3800(203) 709-3869 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sondra Iacullo Bogursky Md NPPES

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

SONDRA IACULLO BOGURSKY MD (NPI 1790711059) is an individual internal medicine provider in Waterbury, Connecticut, licensed in Connecticut (042480) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2000).

NPPES Registry Identity

NPI1790711059
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSONDRA IACULLO BOGURSKYCredential: MD
Location Address95 SCOVILL ST, 3RD FLOORWaterbury, CT 06706-1113
Mailing Address56 Franklin St, 3rd FloorWaterbury, CT 06706-1221 · (203) 709-8873 · Fax (203) 709-8689
Fax(203) 709-3869
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2000
Enumeration DateJune 25, 2006
Last NPPES UpdateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
NPI 1790711059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 042480
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 042480 (CT)
95 SCOVILL ST, Waterbury, CT 06706

Other Identifiers 7

Other3689809/7698594CT · Aetna
Other24-70412CT · Uhc
Other965608CT · Usa
OtherPENDINGCT · Railroad Medicare
Medicaid001424803CT
Other010042480CT01CT · Anthem Bcbs Ct
Other246269CT · Wellcare

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

Sondra Iacullo Bogursky 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 ID3678535176
PECOS Enrollment IDI20041027000996
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

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.
53 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06706 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Reported Quality Measures

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…
43%90 patients2/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims39 services$4.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Adult Health)
95 SCOVILL ST, 3RD FLOOR
WATERBURY, CT 06706
Social Worker (Clinical)
95 SCOVILL ST, 3RD FLOOR
WATERBURY, CT 06706
Internal Medicine
95 SCOVILL ST
WATERBURY, CT 06706
Physician Assistant (Medical)
95 SCOVILL ST, 3RD FLOOR
WATERBURY, CT 06706
Internal Medicine
95 SCOVILL ST
WATERBURY, CT 06706
Pediatrics
95 SCOVILL ST, 3RD FLOOR
WATERBURY, CT 06706
Internal Medicine
95 SCOVILL ST, 3RD FLOOR
WATERBURY, CT 06706
Pediatrics
95 SCOVILL ST, 3RD FLOOR
WATERBURY, CT 06706

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 Sondra Bogursky's NPI number?

The NPI number for Sondra Bogursky is 1790711059. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Sondra Bogursky located?

Sondra Bogursky practices at 95 Scovill St 3rd Floor, Waterbury, CT 06706. The listed phone number is (203) 709-3800.

What is Sondra Bogursky's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sondra Bogursky enrolled in Medicare?

Yes. Sondra Bogursky 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 Sondra Bogursky was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.