SOPHIA MA – Anatomic Pathology & Clinical Pathology Physician, NPI 1124448824
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,583 PATHOLOGY in CA
Provider Addresses for SOPHIA MA
1015 NW 22ND AVE
PORTLAND, OR 972103025
Phone: (800) 649-8730
Type: Mailing
4301 NORTHSTAR WAY
MODESTO, CA 95356
Phone: (209) 577-1200
Fax: (209) 577-6517
Type: Location
5330 S 900 E STE 120
SALT LAKE CITY, UT 841173504
Phone:
Type: Mailing
6500 38th Ave N
St Petersburg, FL 337101629
Phone: (727) 341-4813
Type: Location
3400 Spruce St
6 Founders
Philadelphia, PA 191044238
Phone: (215) 662-4829
Type: Location
6001 Norris Canyon Rd
San Ramon, CA 945835400
Phone: (209) 577-1200
Fax: (209) 577-6517
Type: Location
4301 Northstar Way
Modesto, CA 95356
Phone: (209) 577-1200
Fax: (209) 577-6517
Type: Location
6500 38TH AVE N
ST PETERSBURG, FL 337101629
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230417002567 | I | Pathology | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,547 | 1,062 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 201 | 181 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 179 | 83 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 129 | 81 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 73 | 63 | $0 |
Insurance plans in this area (ZIP 97210)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | ID | |
| Hematology, Pathology | SC | |
| - | SC | |
| - | UT | |
| P A T H O L O G Y | UT | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | SC | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | MN | |
| P A T H O L O G Y | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.