Sophia Gorgens, MD
NPI 1538685193 · Emergency Medicine Physician · New Haven, CT
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sophia Gorgens, MD is a Emergency Medicine Physician provider in New Haven, CT (NPI 1538685193).
Provider details
- NPI number
- 1538685193
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 1018369 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
62 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 31 | $180 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 18 | $120 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 13 | $70 |
Typical Medicare-allowed amounts for these services range $70–$180 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (3)
- Emory Healthcare1364 Clifton Road NeAtlanta, GA 30322-1059Phone: (404) 712-2000
- 680 Centre StBrockton, MA 02302-3308Phone: (508) 941-7400
- 300 Community DriveNorth Shore University HospitalManhasset, NY 11030-3816Phone: (516) 562-2925
Registry dates
- Enumerated
- 2017-08-16
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Frequently asked questions
- What is Sophia Gorgens's NPI number?
- Sophia Gorgens's National Provider Identifier (NPI) is 1538685193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sophia Gorgens's specialty?
- Sophia Gorgens is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sophia Gorgens located?
- Sophia Gorgens's practice location on file with NPPES is 20 York St, New Haven, CT 06510-3220.
- What is Sophia Gorgens's phone number?
- The practice phone number listed in the NPPES registry for Sophia Gorgens is (203) 688-4242.
- Does Sophia Gorgens accept Medicare?
- Sophia Gorgens is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sophia Gorgens's NPI active?
- Yes — Sophia Gorgens's NPI (1538685193) is active in the NPPES registry as of the last update on 2025-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.