Active NPI 1265581714 Individual Practitioner Female Practitioner

Dr. Sofia Shapiro , MD

Internal Medicine • South Orange, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sofia Shapiro, MD is a certified Internal Medicine practicing in South Orange, NJ. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Shapiro delivers high-quality medical care to the local community at 511 S ORANGE AVE.

Dr. Shapiro accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

511 S Orange Ave

South Orange, NJ 070792636

Telephone 9737638950

Fax 9737635216

Associated Practice Facility / Clinic

🏢 Essex Renal & Medical Group,llc Facility NPI 1972545648

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in South Orange, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs -1.5 yrs vs City Avg

City Avg: 37.5 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

12 Specialists

Practicing in South Orange, NJ (4957 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shapiro (36 Years) 36 Yrs

South Orange Specialty Average (37.5 Years) 37.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	350	130	$173.67	$139.91
99213 Established patient office or other outpatient visit, typically 15 minutes	145	84	$144.00	$99.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$300.00	$141.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	23	$50.00	$15.79
G0008 Administration of influenza virus vaccine	49	49	$45.00	$35.50
93000 Routine ekg using at least 12 leads including interpretation and report	41	39	$60.00	$15.78
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	26	$50.00	$16.22
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	32	18	$5.00	$1.32
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	31	31	$97.42	$21.90
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	29	25	$57.24	$34.62
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	28	23	$50.00	$17.55
90480 Admn sarscov2 vacc 1 dose	27	27	$50.00	$47.32
91320 Sarscv2 vac 30mcg trs-suc im	23	23	$150.00	$147.00
90658 Influenza vaccine, trivalent, 0.5 ml dosage	18	18	$97.22	$21.42
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$300.00	$291.00
G0009 Administration of pneumococcal vaccine	17	17	$50.00	$35.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$55.00	$54.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	117	$167.93	$140.76
99213 Established patient office or other outpatient visit, typically 15 minutes	147	81	$139.05	$99.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	80	25	$50.00	$15.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$300.00	$142.20
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	53	23	$5.00	$1.51
G0008 Administration of influenza virus vaccine	51	51	$45.00	$33.97
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	32	32	$50.00	$20.46
93000 Routine ekg using at least 12 leads including interpretation and report	30	27	$60.00	$16.14
90480 Admn sarscov2 vacc 1 dose	29	29	$50.00	$45.29
91322 Sarscov2 vac 50 mcg/0.5ml im	29	29	$160.00	$143.00
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	27	$300.00	$280.92
G0009 Administration of pneumococcal vaccine	26	26	$50.00	$33.97
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$50.00	$21.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$55.00	$54.12
99442 Telephone medical discussion with physician, 11-20 minutes	14	13	$100.00	$98.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	383	124	$160.00	$142.89
99213 Established patient office or other outpatient visit, typically 15 minutes	247	95	$130.00	$101.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	128	32	$50.00	$16.29
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	83	28	$5.00	$1.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$300.00	$146.12
G0008 Administration of influenza virus vaccine	59	59	$45.00	$33.69
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	44	44	$50.00	$20.07
93000 Routine ekg using at least 12 leads including interpretation and report	43	34	$60.00	$16.20
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	24	17	$100.00	$40.92
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	20	17	$50.00	$41.56
99442 Telephone medical discussion with physician, 11-20 minutes	20	18	$100.00	$98.75
69210 Removal of impacted ear wax	19	17	$75.00	$53.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$55.00	$54.44
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$50.00	$21.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	11	$300.00	$201.59
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	13	12	$150.00	$115.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	278	98	$161.26	$145.91
99213 Established patient office or other outpatient visit, typically 15 minutes	247	87	$128.72	$102.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	27	$50.00	$16.18
G0008 Administration of influenza virus vaccine	64	64	$45.00	$19.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$300.00	$149.10
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	52	22	$5.00	$1.97
93000 Routine ekg using at least 12 leads including interpretation and report	42	36	$60.00	$16.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	20	$55.00	$55.00
69210 Removal of impacted ear wax	27	22	$75.00	$54.21
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	26	26	$53.85	$20.53
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	26	26	$76.92	$19.91
90662 Influenza vaccine split virus, preservative free	12	12	$300.00	$65.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	266	104	$103.16	$83.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	81	$133.58	$121.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	31	$50.00	$16.13
G0008 Administration of influenza virus vaccine	56	55	$45.00	$19.04
93000 Routine ekg using at least 12 leads including interpretation and report	45	39	$60.00	$19.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	30	$55.00	$51.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$300.00	$130.44
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	42	25	$5.00	$2.00
90756 Vaccine for influenza for injection into muscle	31	30	$50.00	$27.65
G0009 Administration of pneumococcal vaccine	30	30	$50.00	$18.96
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$191.67	$118.06
90653 Vaccine for influenza for injection into muscle	16	16	$60.00	$59.53
69210 Removal of impacted ear wax	15	13	$75.00	$54.37
36415 Insertion of needle into vein for collection of blood sample	13	13	$20.00	$2.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	109	$99.85	$82.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	92	$134.92	$119.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	93	48	$50.00	$19.02
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	70	39	$5.00	$1.77
93000 Routine ekg using at least 12 leads including interpretation and report	43	38	$60.00	$19.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	28	$62.50	$50.30
G0008 Administration of influenza virus vaccine	35	34	$45.00	$18.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$300.00	$130.83
90756 Vaccine for influenza for injection into muscle	18	18	$50.00	$26.13
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	18	18	$250.00	$155.04
93880 Ultrasound of both sides of head and neck blood flow	17	17	$300.00	$193.42
G0009 Administration of pneumococcal vaccine	15	15	$50.00	$18.67
93925 Ultrasound of leg arteries or artery grafts	11	11	$500.00	$255.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	305	160	$141.52	$80.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	149	$155.53	$118.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	79	42	$50.00	$23.16
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	70	37	$5.00	$1.97
93000 Routine ekg using at least 12 leads including interpretation and report	58	55	$60.00	$19.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$300.00	$129.59
G0008 Administration of influenza virus vaccine	45	42	$45.00	$23.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	34	$94.51	$49.28
G0009 Administration of pneumococcal vaccine	36	36	$50.00	$23.23
90670 Pneumococcal vaccine for injection into muscle	28	28	$250.00	$194.46
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	27	26	$250.00	$161.39
93880 Ultrasound of both sides of head and neck blood flow	25	25	$300.00	$195.04
69210 Removal of impacted ear wax	23	21	$75.00	$54.17
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	21	21	$50.00	$17.48
90756 Vaccine for influenza for injection into muscle	14	14	$30.00	$22.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	614	266	$150.00	$80.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	477	245	$160.00	$117.95
93000 Routine ekg using at least 12 leads including interpretation and report	193	170	$60.00	$19.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	133	63	$50.00	$29.13
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	108	48	$5.00	$3.08
G0008 Administration of influenza virus vaccine	94	94	$45.00	$29.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	63	$100.00	$48.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	83	83	$300.00	$128.27
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	82	82	$40.00	$17.34
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	53	52	$287.74	$193.50
82270 Stool analysis for blood to screen for colon tumors	42	42	$20.00	$4.37
93880 Ultrasound of both sides of head and neck blood flow	37	36	$300.00	$178.40
90670 Pneumococcal vaccine for injection into muscle	33	33	$250.00	$188.79
G0009 Administration of pneumococcal vaccine	33	33	$50.00	$29.01
69210 Removal of impacted ear wax	32	29	$75.00	$54.60
J1885 Injection, ketorolac tromethamine, per 15 mg	30	13	$20.00	$0.67
96361 Hydration infusion into a vein	29	17	$50.00	$17.43
93925 Ultrasound of leg arteries or artery grafts	28	28	$500.00	$258.95
96360 Infusion into a vein for hydration, 31-60 minutes	24	19	$100.00	$66.99
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$400.00	$188.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$300.00	$180.23
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	12	11	$20.00	$5.58

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ MA069937

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Emmanuel Gonzalez , PA

Physician Assistant - Medical

NPI 1386480481

Physician Assistant

Dr. Tatiana Mouravskaia , MD

Internal Medicine

NPI 1851481857

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 511 S ORANGE AVE, SOUTH ORANGE, NJ 070792636 (Tel: 9737638950)

📍

Updated Business Mailing Address July 08, 2007

Registered at 511 S ORANGE AVE, SOUTH ORANGE, NJ 070792636 (Tel: 9737638950)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SOFIA SHAPIRO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #MA069937 in NJ)

🟢

Initial NPI Registration & Enumeration January 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265581714

Entity Type:

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

Enumeration Date: January 10, 2007

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

511 S Orange Ave

South Orange, NJ 070792636

Phone: 9737638950

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.