Active NPI 1225269277 Individual Practitioner Female Practitioner

Sofia Ansari

Internal Medicine - Infectious Disease • Plano, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sofia Ansari is a certified Internal Medicine - Infectious Disease practicing in Plano, TX. With approximately 20 years of clinical experience since completing medical education in 2006, Sofia Ansari delivers high-quality medical care to the local community at 6537 PRESTON RD.

Sofia Ansari is affiliated with Infectious Disease Doctors, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of 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

6537 Preston Rd

Plano, TX 750242610

Telephone 9724847700

Fax 9724847718

Associated Practice Facility / Clinic

🏢 Infectious Disease Doctors, Pa Facility NPI 1811083702

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Infectious Disease in Plano, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -1.4 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

13 Specialists

Practicing in Plano, TX (689 Statewide)

Telehealth Adoption Rate

30.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ansari (20 Years) 20 Yrs

Plano Specialty Average (21.4 Years) 21.4 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	729	241	$200.00	$73.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	191	110	$250.00	$109.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	151	143	$400.00	$160.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	149	109	$150.00	$45.95
99291 Critical care, first 30-74 minutes	45	16	$500.00	$197.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	20	$250.00	$118.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$325.00	$121.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	872	284	$200.00	$76.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	230	127	$250.00	$114.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	133	132	$400.00	$166.71
99291 Critical care, first 30-74 minutes	73	16	$500.00	$204.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	45	$325.00	$124.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	23	$250.00	$121.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	32	$150.00	$47.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	669	227	$200.00	$68.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	208	106	$250.00	$98.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	134	128	$400.00	$189.69
99291 Critical care, first 30-74 minutes	83	25	$500.00	$209.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	25	$250.00	$121.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$325.00	$128.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$150.00	$36.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	947	249	$200.00	$69.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	207	114	$250.00	$100.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	106	104	$400.00	$193.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	65	$325.00	$131.34
99291 Critical care, first 30-74 minutes	61	18	$500.00	$212.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	22	$250.00	$97.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,364	345	$200.00	$71.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	256	166	$250.00	$102.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	171	170	$400.00	$199.11
99291 Critical care, first 30-74 minutes	108	36	$500.00	$218.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	101	98	$325.00	$135.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	26	$250.00	$90.55
11042 Removal of skin and tissue, 20.0 sq cm or less	40	17	$250.00	$61.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	27	$150.00	$38.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$300.00	$129.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$300.00	$166.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,483	344	$200.00	$70.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	179	176	$400.00	$196.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	160	99	$250.00	$101.30
99291 Critical care, first 30-74 minutes	138	33	$500.00	$217.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	51	$250.00	$104.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	104	100	$325.00	$133.29
11042 Removal of skin and tissue, 20.0 sq cm or less	68	31	$250.00	$62.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$300.00	$129.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	18	$250.00	$78.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	19	$150.00	$38.35
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	14	11	$150.00	$104.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,049	284	$200.00	$66.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	204	119	$250.00	$95.14
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	189	11	$300.00	$64.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	140	137	$400.00	$185.07
99291 Critical care, first 30-74 minutes	120	28	$500.00	$203.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	63	$325.00	$124.66
11042 Removal of skin and tissue, 20.0 sq cm or less	65	32	$250.00	$58.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	34	$250.00	$97.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$300.00	$120.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	17	$250.00	$73.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$150.00	$35.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	494	195	$200.00	$64.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	330	175	$250.00	$93.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	187	173	$400.00	$180.89
99291 Critical care, first 30-74 minutes	107	32	$500.00	$199.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	23	$250.00	$94.16
11042 Removal of skin and tissue, 20.0 sq cm or less	29	16	$250.00	$55.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	19	$250.00	$70.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	18	$300.00	$128.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	14	$300.00	$99.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$300.00	$115.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$400.00	$150.50

Medical Specialties & State Licenses

Internal Medicine - Infectious Disease Primary Specialty

NUCC Taxonomy Code: 207RI0200X

State License TX P9508

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Hospital & Practice Group Affiliations

Infectious Disease Doctors, Pa

6537 Preston Rd, Plano, TX 750242610

Phone: 9728679131

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Arpita Sheth , MD

Internal Medicine - Infectious Disease

NPI 1144512369

Doctor of Medicine (M.D.)

Dr. Judith Flom , MD

Internal Medicine - Infectious Disease

NPI 1235380130

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 September 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2016

Registered at 6537 PRESTON RD, PLANO, TX 750242610 (Tel: 9724847700)

📍

Updated Business Mailing Address September 21, 2016

Registered at PO BOX 802772, DALLAS, TX 75380 (Tel: 9724847700)

👤

Provider Name / Credentials Updated September 21, 2016

Recorded as SOFIA ANSARI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2016

Internal Medicine (License #P9508 in TX)

🟢

Initial NPI Registration & Enumeration August 06, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1225269277

Entity Type:

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

Enumeration Date: August 06, 2009

Last Update: September 21, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 802772

Dallas, TX 75380

Phone: 9724847700

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

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