Sophia Higareda, PA-C
NPI 1558601369 · Physician Assistant · Houston, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sophia Higareda, PA-C is a Physician Assistant provider in Houston, TX (NPI 1558601369).
Provider details
- NPI number
- 1558601369
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA08295 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
292 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 Bladder and Urethra Using an Endoscope52000 | 219 | $69 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 30 | $30 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 28 | $56 |
| Telephone Medical Discussion With Physician, 5-10 Minutes99441 | 15 | $48 |
Typical Medicare-allowed amounts for these services range $30–$69 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$136 across 2 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
Registry dates
- Enumerated
- 2013-02-15
- Last updated
- 2013-07-09
Frequently asked questions
- What is Sophia Higareda's NPI number?
- Sophia Higareda's National Provider Identifier (NPI) is 1558601369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sophia Higareda's specialty?
- Sophia Higareda is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sophia Higareda located?
- Sophia Higareda's practice location on file with NPPES is 1515 Holcombe Blvd, Houston, TX 77030-4009.
- What is Sophia Higareda's phone number?
- The practice phone number listed in the NPPES registry for Sophia Higareda is (713) 792-6161.
- Does Sophia Higareda accept Medicare?
- Sophia Higareda is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sophia Higareda's NPI active?
- Yes — Sophia Higareda's NPI (1558601369) is active in the NPPES registry as of the last update on 2013-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.