SONIA CIPRIANI PA
NPI 1871214247
Physician Assistant in Orchard Park, NY

Q: What is Sonia Cipriani's NPI number?

The NPI number for Sonia Cipriani is 1871214247. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Q: What is Sonia Cipriani's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sonia Cipriani was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment

87.31/100

CMS Quality Rating

5959 BIG TREE RD STE 108, ORCHARD PARK, NY 14127(716) 204-3200(716) 204-4337 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sonia Cipriani Pa NPPES

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

SONIA CIPRIANI PA (NPI 1871214247) is an individual physician assistant in Orchard Park, New York, licensed in New York (028893) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Erie County Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871214247

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSONIA CIPRIANICredential: PA

Location Address5959 BIG TREE RD STE 108Orchard Park, NY 14127-2291

Mailing Address4225 Genesee St Ste 400Cheektowaga, NY 14225-1994 · (716) 204-3200 · Fax (716) 204-4337

Phone(716) 204-3200

Fax(716) 204-4337

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 6, 2022

NPPES CertifiedSeptember 6, 2022

✔ NPI 1871214247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 028893

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.

5959 BIG TREE RD STE 108, Orchard Park, NY 14127

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Secondary Practice Locations 2

Location 14949 Harlem RdAmherst, NY 14226-2500 · Phone (716) 204-3200 · Fax (716) 204-4337

Location 2462 Grider StBuffalo, NY 14215-3021 · Phone (716) 204-3200 · Fax (716) 204-4337

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

Sonia Cipriani Pa 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 ID2163899352

PECOS Enrollment IDI20221101000136

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 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 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.

66 services51 patients

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.

17 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330219

Location462 Grider StreetBuffalo, NY 14215 · Erie County

Emergency services

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330279

Location565 Abbott RoadBuffalo, NY 14220 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

87.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.9

Promoting Interoperability

Improvement Activities

Cost

79.2

Other Providers at the Same Location NPPES 20

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

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