DR. FERNANDO SORTO DO
NPI 1063705788
Internal Medicine - Pulmonary Disease in Riverside, CA

Active since May 27, 2011PECOS EnrolledAccepts Medicare Assignment
73.04/100
CMS Quality Rating
4234 RIVERWALK PKWY STE 230, RIVERSIDE, CA 92505(951) 781-3672(951) 781-0365 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Fernando Sorto Do NPPES

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

DR. FERNANDO SORTO DO (NPI 1063705788) is an individual pulmonary disease provider in Riverside, California, licensed in California (A11908) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1063705788
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. FERNANDO SORTOCredential: DO
Location Address4234 RIVERWALK PKWY STE 230Riverside, CA 92505-3312
Mailing AddressPo Box 743892Los Angeles, CA 90074-3892 · (951) 781-3672
Fax(951) 781-0365
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 27, 2011
Last NPPES UpdateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
NPI 1063705788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A11908
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 20A11908 (CA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A11908 (CA)
4234 RIVERWALK PKWY STE 230, Riverside, CA 92505

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. Fernando Sorto Do 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 ID4183871791
PECOS Enrollment IDI20120904000118
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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
609 services230 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
352 services129 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
172 services73 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
110 services42 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
29 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92505 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

73.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.75
Promoting Interoperability83
Improvement Activities40
Cost34.22

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.

Psychiatry & Neurology (Neurocritical Care)
4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
Nurse Practitioner (Gerontology)
4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
Nurse Anesthetist, Certified Registered
4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
Internal Medicine (Critical Care Medicine)
4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
Internal Medicine (Pulmonary Disease)
4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
Internal Medicine (Critical Care Medicine)
4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
Internal Medicine (Critical Care Medicine)
4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
Internal Medicine (Critical Care Medicine)
4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505

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 Fernando Sorto's NPI number?

The NPI number for Fernando Sorto is 1063705788. It was assigned to this individual provider in the NPPES registry on May 27, 2011.

Where is Fernando Sorto located?

Fernando Sorto practices at 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505. The listed phone number is (951) 781-3672.

What is Fernando Sorto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Fernando Sorto enrolled in Medicare?

Yes. Fernando 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.

When was this NPI record last updated?

The NPPES record for Fernando Sorto was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.