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MRS. SONIA E PROUDFOOT MD
NPI 1962434100
Internal Medicine in Monticello, KY

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
166 HOSPITAL STREET, MONTICELLO, KY 42633(606) 348-9343(606) 340-3258 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Sonia E Proudfoot Md NPPES

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

MRS. SONIA E PROUDFOOT MD (NPI 1962434100) is an individual internal medicine provider in Monticello, Kentucky, licensed in Kentucky (35830) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of University Of Louisville School Of Medicine (1999).

NPPES Registry Identity

NPI1962434100
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. SONIA E PROUDFOOTCredential: MD
Location Address166 HOSPITAL STREETMonticello, KY 42633-2416
Mailing Address166 Hospital StreetMonticello, KY 42633-2416 · (606) 348-9343 · Fax (606) 340-3258
Phone(606) 348-9343
Fax(606) 340-3258
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1999
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 9, 2016
✔ NPI 1962434100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 35830
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.
Also ListedHospitalistTaxonomy 208M00000X · License 35830 (KY)
166 HOSPITAL STREET, Monticello, KY 42633
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Other Identifiers 5

Medicare PIN0340KY
Other000000558830KY · Anthem Bc & Bs
Medicare UPINH64267KY
Medicare PIN3334429KY
Medicaid64050149KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sonia E Proudfoot 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 ID4789675430
PECOS Enrollment IDI20040520001245
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.

Medicare Billing Reassignment

Medicare enrollment records show Sonia Proudfoot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wayne County Hospital, Inc
Same address
Critical Access
166 HOSPITAL ST
Monticello, KY 42633
  • Reassigned Medicare billing, Kentucky enrollment
  • 26 clinicians in this Medicare group
NPI 1871548016 (606) 348-9343

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 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.
40 services27 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.
28 services28 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.
27 services27 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.
17 services12 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
14 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Wayne County Hospital

Critical Access Hospitals · Monticello, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181321
Location166 Hospital StreetMonticello, KY 42633 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42633 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$58.83 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$8.24 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

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

WAYNE COUNTY HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
166 HOSPITAL STREET
MONTICELLO, KY 42633
Wayne County (606) 348-9343

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 Proudfoot's NPI number?

The NPI number for Sonia Proudfoot is 1962434100. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Sonia Proudfoot located?

Sonia Proudfoot practices at 166 Hospital Street, Monticello, KY 42633. The listed phone number is (606) 348-9343.

What is Sonia Proudfoot's specialty?

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

Is Sonia Proudfoot enrolled in Medicare?

Yes. Sonia Proudfoot 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.

Which organization bills Medicare for Sonia Proudfoot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Proudfoot reassigns Medicare benefits to Wayne County Hospital, Inc (Monticello, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonia Proudfoot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sonia Proudfoot affiliated with any hospitals?

According to CMS data, Sonia Proudfoot is affiliated with Lake Cumberland Regional Hospital and Wayne County Hospital.

When was this NPI record last updated?

The NPPES record for Sonia Proudfoot was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.