Active NPI 1306838008 Individual Practitioner Male Practitioner

Dr. Michael David Sofronski , MD

Specialist • Rehoboth Beach, DE

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sofronski, MD is a registered healthcare professional specializing in Specialist in Rehoboth Beach, DE. Practice services are available at 18947 JOHN J WILLIAMS HWY UNIT 205 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18947 John J Williams Hwy Unit 205

Rehoboth Beach, DE 199714476

Telephone 3023132000

Fax 3026441206

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Rehoboth Beach, DE

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 33.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Rehoboth Beach, DE (148 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	26	$153.00	$92.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$284.00	$138.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	69	$153.00	$74.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	73	$224.00	$109.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	36	$81.00	$40.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$283.67	$140.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$339.00	$167.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$224.00	$109.04
47562 Removal of gallbladder using an endoscope	23	23	$1424.30	$680.70
99219 Hospital observation care, typically 50 minutes	20	20	$280.00	$141.50
99238 Hospital discharge day management, 30 minutes or less	17	17	$151.00	$76.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	161	61	$81.52	$40.47
99213 Established patient office or other outpatient visit, typically 15 minutes	140	65	$166.31	$76.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	55	$223.38	$110.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	67	$283.43	$140.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$340.20	$169.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$224.00	$111.42
99238 Hospital discharge day management, 30 minutes or less	23	22	$151.43	$75.09
47562 Removal of gallbladder using an endoscope	21	21	$1423.48	$708.28
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	13	13	$2390.69	$641.53
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	13	13	$2672.92	$1646.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$419.08	$207.75
49650 Repair of groin hernia using an endoscope	11	11	$1332.45	$560.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	233	95	$176.00	$72.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	113	46	$81.46	$38.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	32	$222.00	$106.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	54	$283.51	$134.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$224.00	$103.67
99238 Hospital discharge day management, 30 minutes or less	25	24	$151.20	$72.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$339.96	$162.59
47562 Removal of gallbladder using an endoscope	17	17	$1404.35	$670.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$419.44	$200.48
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	16	16	$2375.25	$748.00
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	11	11	$1801.09	$1576.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	200	71	$77.88	$39.61
99213 Established patient office or other outpatient visit, typically 15 minutes	117	57	$174.89	$73.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	51	$323.09	$203.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	31	$162.41	$108.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	47	$282.72	$139.27
99238 Hospital discharge day management, 30 minutes or less	27	27	$134.85	$73.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$223.92	$110.12
47562 Removal of gallbladder using an endoscope	19	19	$1761.58	$678.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$339.11	$159.81

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MD D0052198

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

400179600 (MD)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Mark Facciolo , DO

Surgery

NPI 1558629360

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active June 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2017

Registered at 18947 JOHN J WILLIAMS HWY UNIT 205, REHOBOTH BEACH, DE 199714476 (Tel: (302) 313-2000)

📍

Updated Business Mailing Address June 30, 2017

Registered at 18947 JOHN J WILLIAMS HWY UNIT 205, REHOBOTH BEACH, DE 199714476 (Tel: (302) 313-2000)

👤

Provider Name / Credentials Updated June 30, 2017

Recorded as MICHAEL SOFRONSKI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2017

Specialist (License #D0052198 in MD)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 1324 BELMONT AVE, 105, SALISBURY, MD 218044543 (Tel: 4103416180)

📍

Updated Business Mailing Address July 09, 2007

Registered at 4564 CHERRY HILL LANE, SALISBURY, MD 21804 (Tel: 4108606882)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as MICHAEL SOFRONSKI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #D0052198 in MD)

🟢

Initial NPI Registration & Enumeration August 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306838008

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 18, 2005

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

18947 John J Williams Hwy Unit 205

Rehoboth Beach, DE 199714476

Phone: 3023132000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.