Sophia Marin, PA
NPI 1639809049ActiveIndividual· Physician Assistant· Grand Prairie, TX
Physician Assistant (PA) with Legacy Urgent Care PA and 2 other groups, practicing in Grand Prairie, Texas. In 2024 Medicare paid $4,376 for 49 patients, and Part D covered 105 of their prescriptions, 84% of them generic. Glaxosmithkline, LLC. reported $14.40 in payments in 2025, mostly food and beverage. Lists Medical City Las Colinas as a hospital affiliation.
Overview
| NPI | 1639809049 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jun 16, 2022 |
| Last updated in NPPES | Jun 18, 2025 |
| Certified by provider | Jun 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA16755 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 130 across 21 procedure codes |
| Paid by Medicare | $4,376 |
Part D prescriptions in 2024
| Prescriptions (claims) | 105 · 122 30-day fills |
|---|---|
| Patients | 60 |
| Total drug cost | $2,737 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Legacy Urgent Care PAFrisco, TX · 159 clinicians
- Dallas Medical Specialists, PLLCDallas, TX · 87 clinicians
- Frisco Emergency Medicine Associates PACoppell, TX · 56 clinicians
Hospital affiliation
- Medical City Las ColinasIrving, TX
Industry payments (Open Payments)
- 2025$14.40 · 1 payment from 1 company
- 2024$480.71 · 22 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $14.40 | 1 |
What the 2025 payments were for
- Food and Beverage$14.40 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 physician assistants in Grand Prairie · All physician assistants in Texas