ADAM SOHNEN
NPI 1952404535
Internal Medicine in Pittsburgh, PA

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
532 S AIKEN AVE, SUITE 201, PITTSBURGH, PA 15232(412) 621-5091 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Adam Sohnen NPPES

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

ADAM SOHNEN (NPI 1952404535) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD057286L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of Emory University School Of Medicine (1993).

NPPES Registry Identity

NPI1952404535
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameADAM SOHNEN
Location Address532 S AIKEN AVE, SUITE 201Pittsburgh, PA 15232-1521
Mailing Address532 S Aiken Ave, Suite 201Pittsburgh, PA 15232-1521
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1993
Enumeration DateSeptember 7, 2006
Last NPPES UpdateApril 6, 2021
NPI 1952404535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD057286L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
532 S AIKEN AVE, Pittsburgh, PA 15232

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

Adam Sohnen 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 ID9032012562
PECOS Enrollment IDI20040130000752
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 12

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 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.
135 services69 patients
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.
89 services60 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
84 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
68 services33 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
37 services35 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
24 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$5.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers41 claims42 services$62.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
532 S AIKEN AVE, SUITE 201 PRIMARY MEDICAL ASSOCIATES
PITTSBURGH, PA 15232
Specialist
532 S AIKEN AVE, SUITE 300
PITTSBURGH, PA 15232
Urology
532 S AIKEN AVE, SUITE 414
PITTSBURGH, PA 15232
Colon & Rectal Surgery
532 S AIKEN AVE, SUITE 501
PITTSBURGH, PA 15232
Podiatrist
532 S AIKEN AVE, STE 108
PITTSBURGH, PA 15232
Physician Assistant (Medical)
532 S AIKEN AVE, SUITE 400
PITTSBURGH, PA 15232
Physician Assistant (Surgical)
532 S AIKEN AVE, UPMC ST MARGARET HOSPITAL
PITTSBURGH, PA 15232
Specialist
532 S AIKEN AVE, AIKEN MEDICAL BUILDING
PITTSBURGH, PA 15232

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 Adam Sohnen's NPI number?

The NPI number for Adam Sohnen is 1952404535. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Adam Sohnen located?

Adam Sohnen practices at 532 S Aiken Ave Suite 201, Pittsburgh, PA 15232. The listed phone number is (412) 621-5091.

What is Adam Sohnen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adam Sohnen enrolled in Medicare?

Yes. Adam Sohnen 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.

Is Adam Sohnen affiliated with any hospitals?

According to CMS data, Adam Sohnen is affiliated with Upmc St Margaret, Upmc Passavant, Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for Adam Sohnen was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.