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DR. PRASHANT SONI M.D.
NPI 1003969056
Plastic Surgery in Danbury, CT

Active since January 20, 2007PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
107 NEWTOWN RD, 2C, DANBURY, CT 06810(203) 791-9661(203) 730-4162 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Prashant Soni M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRASHANT SONI M.D. (NPI 1003969056) is an individual plastic surgery provider in Danbury, Connecticut, licensed in Connecticut (040807) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (1999).

NPPES Registry Identity

NPI1003969056
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. PRASHANT SONICredential: M.D.
Location Address107 NEWTOWN RD, 2CDanbury, CT 06810-4146
Mailing Address107 Newtown Rd, 2cDanbury, CT 06810-4146 · (203) 791-9661 · Fax (203) 730-4162
Phone(203) 791-9661
Fax(203) 730-4162
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1999
Enumeration DateJanuary 20, 2007
Last NPPES UpdateJanuary 29, 2013
✔ NPI 1003969056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CT · 040807
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
107 NEWTOWN RD, Danbury, CT 06810
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Other Identifiers 2

Medicaid001408071CT
Medicare PIN0240000198CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prashant Soni M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224133780
PECOS Enrollment IDI20070412000254
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
82 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
12 services11 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
74%90 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%328 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
11%165 patients1/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
99%165 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
100%165 patients5/55-star benchmark: 77%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
91%43 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOV BLOCH M.D.
Otolaryngology
107 NEWTOWN RD, 2A
DANBURY, CT 06810
Western Connecticut Planning Region (203) 830-4700
ADVANCED SPECIALTY CARE, P.C.
Otolaryngology
107 NEWTOWN RD, SUITE 2A
DANBURY, CT 06810
Western Connecticut Planning Region (203) 830-4700
ANA PAULA MACHADO MD
Pediatrics
107 NEWTOWN RD, SUITE 1D
DANBURY, CT 06810
Western Connecticut Planning Region (203) 790-0822
DR. BARBARA SAFRAN M.D.
Otolaryngology
107 NEWTOWN RD, 2A
DANBURY, CT 06810
Western Connecticut Planning Region (203) 830-4700
JOAN A MAGNER MD
Pediatrics
107 NEWTOWN RD, SUITE 1D
DANBURY, CT 06810
Western Connecticut Planning Region (203) 790-0822
ARTHUR TEPPER AU.D.
Audiologist
107 NEWTOWN RD, 2A
DANBURY, CT 06810
Western Connecticut Planning Region (203) 830-4700
WENDY WALLACH-DELUCIA M.S.
Audiologist
107 NEWTOWN RD, 2A
DANBURY, CT 06810
Western Connecticut Planning Region (203) 830-4700
JAMES SCOTT BATTI MD, FACS, FAAP
Otolaryngology (Pediatric Otolaryngology)
107 NEWTOWN RD, SUITE 2A
DANBURY, CT 06810
Western Connecticut Planning Region (203) 830-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prashant Soni's NPI number?

The NPI number for Prashant Soni is 1003969056. It was assigned to this individual provider in the NPPES registry on January 20, 2007.

Where is Prashant Soni located?

Prashant Soni practices at 107 Newtown Rd 2C, Danbury, CT 06810. The listed phone number is (203) 791-9661.

What is Prashant Soni's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Prashant Soni enrolled in Medicare?

Yes. Prashant Soni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Prashant Soni was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.