SONIA MEHTA MD
NPI 1902004401
Ophthalmology in Plymouth Meeting, PA

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4060 BUTLER PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462(800) 331-6634(267) 420-1360 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2019, Sep 22, 2017 (2 updates tracked since 2017).

About Sonia Mehta Md NPPES

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

SONIA MEHTA MD (NPI 1902004401) is an individual ophthalmology provider in Plymouth Meeting, Pennsylvania, licensed in Delaware (C1-0010418) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Wills Eye Hospital, and is a graduate of Boston University School Of Medicine (2007).

NPPES Registry Identity

NPI1902004401
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSONIA MEHTACredential: MD
Location Address4060 BUTLER PIKE, SUITE 200Plymouth Meeting, PA 19462-1560
Mailing Address4060 Butler Pike, Suite 200Plymouth Meeting, PA 19462-1560 · (800) 331-6634 · Fax (267) 420-1360
Fax(267) 420-1360
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2007
Enumeration DateJuly 5, 2007
Last NPPES UpdateMay 6, 20192 updates tracked since enumeration
NPI 1902004401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in DE · C1-0010418 Licensed in NJ · 25MA09253600 Licensed in PA · MD447828
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 25MA09253600 (NJ), MD447828 (PA), C1-0010418 (DE)
4060 BUTLER PIKE, Plymouth Meeting, PA 19462

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

Sonia Mehta 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 ID9032388848
PECOS Enrollment IDI20130517000231, I20131024000158, I20131024000357
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 17

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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
34,740 services70 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
4,631 services1,614 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
3,009 services568 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,696 services228 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
2,617 services800 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
948 services845 patients

Hospital Affiliations CMS Care Compare

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

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390331
Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19462 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

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.

Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Optometrist
4060 BUTLER PIKE, SUITE 100
PLYMOUTH MEETING, PA 19462
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Ophthalmology
4060 BUTLER PIKE, STE 200
PLYMOUTH MEETING, PA 19462
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462

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 Mehta's NPI number?

The NPI number for Sonia Mehta is 1902004401. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Sonia Mehta located?

Sonia Mehta practices at 4060 Butler Pike Suite 200, Plymouth Meeting, PA 19462. The listed phone number is (800) 331-6634.

What is Sonia Mehta's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sonia Mehta enrolled in Medicare?

Yes. Sonia Mehta 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 Sonia Mehta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan and Ambetter of Alabama and 3 other insurers list Sonia Mehta 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 Sonia Mehta affiliated with any hospitals?

According to CMS data, Sonia Mehta is affiliated with Wills Eye Hospital.

When was this NPI record last updated?

The NPPES record for Sonia Mehta was last updated on May 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.