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DR. SONIA-MARIA REYES M.D
NPI 1982012316
Emergency Medicine in Lexington, KY

Active since July 29, 2014PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
UNIVERSITY OF KENTUCKY, 800 ROSE ST., M53, LEXINGTON, KY 40536(859) 323-2300 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 19, 2018, Jun 29, 2017 (2 updates tracked since 2017).

About Dr. Sonia-maria Reyes M.d NPPES

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

DR. SONIA-MARIA REYES M.D (NPI 1982012316) is an individual emergency medicine provider in Lexington, Kentucky, licensed in California (A154933) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2014).

NPPES Registry Identity

NPI1982012316
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. SONIA-MARIA REYESCredential: M.D
Location AddressUNIVERSITY OF KENTUCKY, 800 ROSE ST., M53Lexington, KY 40536
Mailing AddressUniversity Of Ky Emergency Med, 800 Rose St., M53Lexington, KY 40536-0298 · (859) 323-2300 · Fax (859) 323-5268
Phone(859) 323-2300
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2014
Enumeration DateJuly 29, 2014
Last NPPES UpdateJuly 19, 20182 updates tracked since enumeration
✔ NPI 1982012316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CA · A154933✔ Licensed in KY · 50460
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
UNIVERSITY OF KENTUCKY, Lexington, KY 40536
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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. Sonia-maria Reyes 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 ID8022322304
PECOS Enrollment IDI20180802003583
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 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.
258 services249 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
176 services167 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.
129 services126 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.
60 services60 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.38 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
1 supplier12 claims12 services$56.37 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.

INDU ELIZABETH MATHEW MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-1786
DR. MEGAN HOFMEISTER M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 218-2100
DR. JEREMIAH PHELPS MD PHD
Emergency Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6762
ASHLEY ROLLINS MD
Internal Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-2636
DR. JANELLE LOUISE REED M.D./PH.D
Emergency Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (859) 323-5083
DR. PAUL JAMES SPICER MD
Radiology (Diagnostic Radiology)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET, HX-311
LEXINGTON, KY 40536
Fayette County (859) 323-8570
ANTHONY ZACHARIAS
Orthopaedic Surgery
UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (859) 218-3044
LAURA H REYNOLDS M.D.
Psychiatry & Neurology (Psychiatry)
UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6021

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-maria Reyes's NPI number?

The NPI number for Sonia-maria Reyes is 1982012316. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Where is Sonia-maria Reyes located?

Sonia-maria Reyes practices at University Of Kentucky 800 Rose St., M53, Lexington, KY 40536. The listed phone number is (859) 323-2300.

What is Sonia-maria Reyes's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sonia-maria Reyes enrolled in Medicare?

Yes. Sonia-maria Reyes 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.

When was this NPI record last updated?

The NPPES record for Sonia-maria Reyes was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.