SOPHIE ELIZABETH COONEY PA-C
NPI 1821612391
Physician Assistant in Saint Louis, MO

Active since June 01, 2020PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
621 S NEW BALLAS RD STE 297A, SAINT LOUIS, MO 63141(314) 251-6364 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2022, May 26, 2022, Jan 17, 2022 and 2 more (5 updates tracked since 2020).

About Sophie Elizabeth Cooney Pa-c NPPES

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

SOPHIE ELIZABETH COONEY PA-C (NPI 1821612391) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2023046479) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1821612391
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOPHIE ELIZABETH COONEYCredential: PA-C
Location Address621 S NEW BALLAS RD STE 297ASaint Louis, MO 63141-8200
Mailing Address621 S New Ballas Rd Ste 297aSaint Louis, MO 63141-8200 · (314) 251-6364
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 1, 2020
Last NPPES UpdateFebruary 13, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2024
NPI 1821612391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MO · 2023046479 Licensed in NY · 028957 Licensed in IN · 10002971A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
621 S NEW BALLAS RD STE 297A, Saint Louis, MO 63141

Secondary Practice Location 1

Location 1621 S New Ballas Rd Ste 298ASaint Louis, MO 63141-8200 · Phone (314) 251-6364

Other Identifiers 1

Medicaid300040993IN

Accepted Insurance

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

Sophie Elizabeth Cooney Pa-c 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 ID4284059429
PECOS Enrollment IDI20240217000175
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Neurological Surgery
621 S NEW BALLAS RD STE 297A
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD STE 297A
SAINT LOUIS, MO 63141
Neurological Surgery
621 S NEW BALLAS RD STE 297A
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD STE 297A
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD STE 297A
SAINT LOUIS, MO 63141
Neurological Surgery
621 S NEW BALLAS RD STE 297A
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD STE 297A
SAINT LOUIS, MO 63141
Surgery
621 S NEW BALLAS RD STE 297A
SAINT LOUIS, MO 63141

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 Sophie Cooney's NPI number?

The NPI number for Sophie Cooney is 1821612391. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Sophie Cooney located?

Sophie Cooney practices at 621 S New Ballas Rd Ste 297A, Saint Louis, MO 63141. The listed phone number is (314) 251-6364.

What is Sophie Cooney's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sophie Cooney enrolled in Medicare?

Yes. Sophie Cooney 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.

What insurance does Sophie Cooney accept?

Health plans from CareSource and Medica list Sophie Cooney 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 Sophie Cooney affiliated with any hospitals?

According to CMS data, Sophie Cooney is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Sophie Cooney was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.