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SOFIA LYFORD-PIKE M.D,
NPI 1801004866
Otolaryngology - Facial Plastic Surgery in Edina, MN

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
82.34/100
CMS Quality Rating
7373 FRANCE AVE S STE 410, EDINA, MN 55435(952) 844-0404 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sofia Lyford-pike M.d, NPPES

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

SOFIA LYFORD-PIKE M.D, (NPI 1801004866) is an individual facial plastic surgery provider in Edina, Minnesota, licensed in Minnesota (57436) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2007).

NPPES Registry Identity

NPI1801004866
Entity TypeIndividualFemale
Primary Taxonomy207YS0123X
Provider Legal NameSOFIA LYFORD-PIKECredential: M.D,
Location Address7373 FRANCE AVE S STE 410Edina, MN 55435-4538
Mailing Address7373 France Ave S Ste 410Edina, MN 55435-4538 · (952) 844-0404
Phone(952) 844-0404
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2007
Enumeration DateMay 21, 2007
Last NPPES UpdateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1801004866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in MN · 57436
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 57436 (MN)
7373 FRANCE AVE S STE 410, Edina, MN 55435
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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

Sofia Lyford-pike M.d, 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 ID7012166283
PECOS Enrollment IDI20140522001468
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

5

Medicare enrollment records show Sofia Lyford-pike reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
1.1 mi
Clinic/Center
3400 W 66TH ST, STE 400
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1659509552 (612) 672-6999
Group Health, Inc.
2.8 mi
General Practice
8600 NICOLLET AVE S
Bloomington, MN 55420
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
NPI 1922153881 (952) 884-1148
University Of Minnesota Physicians
7.0 mi
Adult Mental Health
5775 WAYZATA BLVD STE 255
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
NPI 1144368531 (122) 738-7106
Fairview Specialty Services
8.1 mi
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1043199334 (855) 324-7843
University Of Minnesota Health Clinics And Surgery Center Inc
8.6 mi
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
NPI 1003485004 (612) 273-8383

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 4

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,045 services21 patients
Injection of chemical for paralysis of nerve muscles on side of face 64612
This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
57 services22 patients
Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616
This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.
48 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
45 services27 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

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.

82.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.54
Promoting Interoperability100
Improvement Activities40
Cost38.17

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 Sofia Lyford-pike's NPI number?

The NPI number for Sofia Lyford-pike is 1801004866. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Sofia Lyford-pike located?

Sofia Lyford-pike practices at 7373 France Ave S Ste 410, Edina, MN 55435. The listed phone number is (952) 844-0404.

What is Sofia Lyford-pike's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Sofia Lyford-pike enrolled in Medicare?

Yes. Sofia Lyford-pike 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 Sofia Lyford-pike's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sofia Lyford-pike reassigns Medicare benefits to 5 organizations: Fairview Express Care (Edina, MN), Group Health, Inc. (Bloomington, MN), University Of Minnesota Physicians (St Louis Park, MN), Fairview Specialty Services (Minneapolis, MN) and University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN). 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 Sofia Lyford-pike's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sofia Lyford-pike accept?

Health plans from HealthPartners and Sanford Health Plan list Sofia Lyford-pike 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 Sofia Lyford-pike affiliated with any hospitals?

According to CMS data, Sofia Lyford-pike is affiliated with M Health Fairview Southdale Hospital and M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Sofia Lyford-pike was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.