Doctor profile · Federal record
Dr. Sophia Higareda, PA-C
Physician Assistant · Houston, TX
- NPI 1558601369
- Accepts Medicare
- MIPS 79.4 / 100 · 2023
- 14 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1515 Holcombe Blvd
Houston, TX 770304009
(713) 792-6161 - Mailing address
-
Po Box 4439
Houston, TX 772104439
Credentials & registration
- NPI registered
- February 2013 — 13 yrs on file
- Profile last updated
- July 9, 2013
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Texas #PA08295
- Medicaid
- TX #316124201
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558601369. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
333
Distinct HCPCS
4
Medicare allowed
$19,693
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
52000 |
Diagnostic exam of bladder and urethra using an endoscope | 238 | 170 | $69 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 58 | 55 | $31 | |
99441 |
Telephone medical discussion with physician, 5-10 minutes | 22 | 21 | $30 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $57 |
In context: peer comparison
Among 320 peers in Houston Physician Assistant, average services per provider: 72. This provider delivers 4.6× the peer median.Open Payments
Industry payments received
All-time total
$136
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Biotech, INC. | 1 | $118.54 | |
| Bayer Healthcare Pharmaceuticals INC. | 1 | $17.20 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
0
Total drug cost
$389
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tamsulosin Hcl | Generic | 13 | 0 | $389 |
Frequently asked questions
What is Dr. Sophia Higareda's medical specialty?
Dr. Sophia Higareda practices Physician Assistant in Houston, TX.
Where does Dr. Sophia Higareda practice?
Dr. Sophia Higareda practices at 1515 Holcombe Blvd, Houston, TX 770304009. Office phone: 7137926161.
What is Dr. Sophia Higareda's NPI?
Dr. Sophia Higareda's National Provider Identifier (NPI) is 1558601369, issued by NPPES.
Does Dr. Sophia Higareda accept Medicare assignment?
Yes. Dr. Sophia Higareda accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sophia Higareda commonly perform?
Top Medicare-reported procedures in 2023: Diagnostic exam of bladder and urethra using an endoscope (HCPCS 52000); Established patient office or other outpatient visit (HCPCS 99212); Telephone medical discussion with physician (HCPCS 99441). Source: CMS Medicare Physician & Other Practitioners file.