Sonya Marcus, M.D.
NPI 1437594058 · Otolaryngology Physician · Stony Brook, NY
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sonya Marcus, M.D. is a Otolaryngology Physician provider in Stony Brook, NY (NPI 1437594058).
Provider details
- NPI number
- 1437594058
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
790 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 284 | $227 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 119 | $151 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 107 | $198 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 96 | $107 |
| Control of Bleeding of Nose Using an Endoscope31238 | 48 | $300 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 72 | 30 |
| Ipratropium Bromide | 70 | 29 |
| Azelastine Hcl | 30 | — |
| Doxycycline Hyclate | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,948 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 550 Peachtree St Ne Ste 1135Atlanta, GA 30308Phone: (917) 232-8062
- 550 1st AveNyu Langone Medical CenterNew York, NY 10016-6402Phone: (212) 263-5506
Registry dates
- Enumerated
- 2013-05-09
- Last updated
- 2022-04-14
- Certified
- 2022-04-14
Frequently asked questions
- What is Sonya Marcus's NPI number?
- Sonya Marcus's National Provider Identifier (NPI) is 1437594058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sonya Marcus's specialty?
- Sonya Marcus is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Sonya Marcus located?
- Sonya Marcus's practice location on file with NPPES is 101 Nicolls Rd, Stony Brook, NY 11794-0001.
- What is Sonya Marcus's phone number?
- The practice phone number listed in the NPPES registry for Sonya Marcus is (917) 232-8062.
- Does Sonya Marcus accept Medicare?
- Sonya Marcus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sonya Marcus's NPI active?
- Yes — Sonya Marcus's NPI (1437594058) is active in the NPPES registry as of the last update on 2022-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.