DR. MICHAEL SONIER JR. M.D.
NPI 1912341579
Family Medicine in Rockdale, TX

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since April 24, 2013PECOS EnrolledAccepts Medicare Assignment

97.1/100

CMS Quality Rating

1700 BRAZOS AVE, ROCKDALE, TX 76567(512) 481-7060 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 25, 2016, Oct 19, 2016, Feb 11, 2016 (3 updates tracked since 2016).

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About Dr. Michael Sonier Jr. M.d. NPPES

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

DR. MICHAEL SONIER JR. M.D. (NPI 1912341579) is an individual family medicine provider in Rockdale, Texas, licensed in Texas (Q9251) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Abbeville General Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912341579

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHAEL SONIER JR.Credential: M.D.

Location Address1700 BRAZOS AVERockdale, TX 76567-2517

Mailing Address1700 Brazos AveRockdale, TX 76567-2517 · (512) 244-1842 · Fax (337) 494-6750

Phone(512) 481-7060

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 24, 2013

Last NPPES UpdateOctober 25, 20163 updates tracked since enumeration

✔ NPI 1912341579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · Q9251

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1700 BRAZOS AVE, Rockdale, TX 76567

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice and more.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

Dr. Michael Sonier Jr. 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 ID1850534173

PECOS Enrollment IDI20161017000531, I20170208001516

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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

61 services60 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

39 services38 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.

19 services18 patients

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.

15 services11 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Abbeville General Hospital

Acute Care Hospitals · Abbeville, LA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190034

Location118 N Hospital DrAbbeville, LA 70510 · Vermilion County

Emergency services Birthing friendly

Hardtner Medical Center

Critical Access Hospitals · Olla, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number191315

Location1102 N Pine RoadOlla, LA 71465 · Lasalle County

Emergency services

Cuero Regional Hospital

Acute Care Hospitals · Cuero, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450597

Location2550 N EsplanadeCuero, TX 77954 · De Witt County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76567 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

$84.92 typical visit price

range $54.84 – $166.88

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

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

97.1/100

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

Scored as part of a group practice

Quality

78.59

Improvement Activities

Other Providers at the Same Location NPPES 15

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

RANDY MCGINNIS C.R.N.A.

Nurse Anesthetist, Certified Registered