ANTONIO E. SOTOMAYOR M.D.
NPI 1043321961
Psychiatry & Neurology - Neurology in Reading, PA

Q: What is Antonio Sotomayor's NPI number?

The NPI number for Antonio Sotomayor is 1043321961. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Antonio Sotomayor's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Antonio Sotomayor was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

78.36/100

CMS Quality Rating

1220 CENTRE AVE, SUITE 201, READING, PA 19601(610) 898-1200 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Antonio E. Sotomayor M.d. NPPES

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

ANTONIO E. SOTOMAYOR M.D. (NPI 1043321961) is an individual neurology provider in Reading, Pennsylvania, licensed in Pennsylvania (MD030233E) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1043321961

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameANTONIO E. SOTOMAYORCredential: M.D.

Location Address1220 CENTRE AVE, SUITE 201Reading, PA 19601-1458

Mailing Address1220 Centre Ave, Suite 201Reading, PA 19601-1458 · (610) 898-1200

Phone(610) 898-1200

Sole ProprietorYes

Medical School CMSOtherGraduated 1978

Enumeration DateAugust 31, 2006

Last NPPES UpdateDecember 8, 2016

✔ NPI 1043321961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in PA · MD030233E

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1220 CENTRE AVE, Reading, PA 19601

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Other Identifiers 1

Medicare ID-Type Unspecified677878PA

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

Antonio E. Sotomayor 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 ID9830381656

PECOS Enrollment IDI20101012000029

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19601 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

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.

78.36/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.13

Promoting Interoperability

Improvement Activities

Cost

48.42

Reported Quality Measures

Colorectal Cancer Screening

52%33 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

73%22 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

64%90 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

82%50 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

3%35 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 91% · 47 patients

83%47 patients

Provide Patients Electronic Access to Their Health Information

45%29 patients2/55-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.

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Other Providers at the Same Location NPPES 11

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

DARSHIT KANUBHAI PATEL

Pharmacist