DR. ARLENE ESTHER GARCIA-SOTO MD
NPI 1053579490
Obstetrics & Gynecology - Gynecologic Oncology in Plano, TX

Active since May 31, 2008PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
6957 W PLANO PKWY STE 2000, PLANO, TX 75093(214) 483-6933(214) 483-6648 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2019, Jul 5, 2017, Feb 3, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Arlene Esther Garcia-soto Md NPPES

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

DR. ARLENE ESTHER GARCIA-SOTO MD (NPI 1053579490) is an individual gynecologic oncology provider in Plano, Texas, licensed in Texas (Q7372) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053579490
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameDR. ARLENE ESTHER GARCIA-SOTOCredential: MD
Location Address6957 W PLANO PKWY STE 2000Plano, TX 75093
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-0813
Fax(214) 483-6648
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2008
Enumeration DateMay 31, 2008
Last NPPES UpdateJuly 1, 20194 updates tracked since enumeration
NPI 1053579490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License Licensed in TX · Q7372
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
6957 W PLANO PKWY STE 2000, Plano, TX 75093

Secondary Practice Locations 3

Location 112200 Park Central Drive, Suite 410Dallas, TX 75251 · Phone (972) 490-5970 · Fax (972) 490-5632
Location 27777 Forest Ln Ste 400Dallas, TX 75230-2571 · Phone (972) 566-7790 · Fax (972) 566-5819
Location 36300 W Parker Rd Ste 123Plano, TX 75093-8104 · Phone (972) 398-2899 · Fax (972) 398-2837

Accepted 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

Dr. Arlene Esther Garcia-soto 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 ID1951553528
PECOS Enrollment IDI20161101000030
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 38

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.

Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
10,800 services20 patients
Injection, iron sucrose, 1 mg J1756
Iron sucrose injection is a treatment given to replenish iron in your body, often used when oral iron supplements are not effective. This helps your body make red blood cells, improving health and energy levels.
6,300 services11 patients
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units Q5106
Epoetin alfa-epbx (Retacrit) is a biosimilar injection used for non-ESRD (End-Stage Renal Disease). It helps your body make more red blood cells, increasing your energy and well-being. It's usually given under the skin or into a vein by a healthcare professional.
2,140 services18 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,100 services24 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,978 services50 patients
Injection, palonosetron hcl, 25 mcg J2469
Palonosetron HCL is an injection used to prevent nausea and vomiting caused by chemotherapy. It works by blocking a natural substance (serotonin) in the body that can cause vomiting. This helps improve your comfort during cancer treatment.
780 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Ambulatory Surgical)
6957 W PLANO PKWY STE 2000
PLANO, TX 75093
Internal Medicine (Medical Oncology)
6957 W PLANO PKWY STE 2000
PLANO, TX 75093
Anesthesiology
6957 W PLANO PKWY STE 2000
PLANO, TX 75093
Clinic/Center (Ambulatory Surgical)
6957 W PLANO PKWY STE 2000
PLANO, TX 75093
Nurse Practitioner (Family)
6957 W PLANO PKWY STE 2000
PLANO, TX 75093
Internal Medicine (Hematology & Oncology)
6957 W PLANO PKWY STE 2000
PLANO, TX 75093
Nurse Practitioner (Family)
6957 W PLANO PKWY STE 2000
PLANO, TX 75093

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 Arlene Garcia-soto's NPI number?

The NPI number for Arlene Garcia-soto is 1053579490. It was assigned to this individual provider in the NPPES registry on May 31, 2008.

Where is Arlene Garcia-soto located?

Arlene Garcia-soto practices at 6957 W Plano Pkwy Ste 2000, Plano, TX 75093. The listed phone number is (214) 483-6933.

What is Arlene Garcia-soto's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Arlene Garcia-soto enrolled in Medicare?

Yes. Arlene Garcia-soto 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 Arlene Garcia-soto accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Arlene Garcia-soto 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 Arlene Garcia-soto affiliated with any hospitals?

According to CMS data, Arlene Garcia-soto is affiliated with Medical City Plano, Texas Health Presbyterian Hospital Plano, Texas Health Presbyterian Hospital Allen and Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Arlene Garcia-soto was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.