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JUAN CLAROS-SORTO MD
NPI 1043571664
Surgery in Oklahoma City, OK

Active since May 30, 2012PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
920 SL YOUNG BLVD, OKLAHOMA CITY, OK 73104(405) 271-6308 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juan Claros-sorto Md NPPES

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

JUAN CLAROS-SORTO MD (NPI 1043571664) is an individual surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (29157) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of Meharry Medical College School Of Medicine (2012).

NPPES Registry Identity

NPI1043571664
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJUAN CLAROS-SORTOCredential: MD
Location Address920 SL YOUNG BLVDOklahoma City, OK 73104-5036
Mailing Address920 Sl Young BlvdOklahoma City, OK 73104-5036 · (405) 271-6308
Phone(405) 271-6308
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2012
Enumeration DateMay 30, 2012
✔ NPI 1043571664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OK · 29157
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
920 SL YOUNG BLVD, Oklahoma City, OK 73104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

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

Juan Claros-sorto Md 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 ID5193028785
PECOS Enrollment IDI20181011002164
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 9

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 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.
118 services110 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.
54 services54 patients
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.
32 services29 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
28 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services23 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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.

EVELYN LORENTS MD
Radiology (Diagnostic Radiology)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
JIMMY ARGO MD
Otolaryngology
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5504
MATLOCK JEFFRIES MD
Internal Medicine (Rheumatology)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
TARANDEEP GREWAL MD
Psychiatry & Neurology (Psychiatry)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5251
AMBER WEINGARTNER MD
Obstetrics & Gynecology
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8787
KATHARINE PENTECOST PA-C
Physician Assistant
920 SL YOUNG BLVD, WP1310
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
KRISTINA BOOTH MS
Surgery
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5251
CHRISTINA HENSON MD
Radiology (Radiation Oncology)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963

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 Juan Claros-sorto's NPI number?

The NPI number for Juan Claros-sorto is 1043571664. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Juan Claros-sorto located?

Juan Claros-sorto practices at 920 Sl Young Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-6308.

What is Juan Claros-sorto's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Juan Claros-sorto enrolled in Medicare?

Yes. Juan Claros-sorto 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.

What insurance does Juan Claros-sorto accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Juan Claros-sorto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Juan Claros-sorto affiliated with any hospitals?

According to CMS data, Juan Claros-sorto is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Juan Claros-sorto was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.