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JOSE RAUL SOTO MD
NPI 1063707578
Surgery in Charlotte, NC

Active since June 13, 2011PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1025 MOREHEAD MEDICAL DR, STE 600, CHARLOTTE, NC 28204(704) 355-8816 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2025, Jul 15, 2024, May 4, 2023 and 50 more (53 updates tracked since 2018).

About Jose Raul Soto Md NPPES

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

JOSE RAUL SOTO MD (NPI 1063707578) is an individual surgery provider in Charlotte, North Carolina, licensed in North Carolina (2018-01839) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1063707578
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOSE RAUL SOTOCredential: MD
Location Address1025 MOREHEAD MEDICAL DR, STE 600Charlotte, NC 28204-2963
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 355-8816
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 13, 2011
Last NPPES UpdateDecember 9, 202553 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1063707578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NC · 2018-01839✔ Licensed in WI · 85476
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.
1025 MOREHEAD MEDICAL DR, Charlotte, NC 28204
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255
Location 21126 N Church St, Ste 201Greensboro, NC 27401-1000 · Phone (336) 235-0866
Location 31021 Morehead Medical Dr, Ste ACharlotte, NC 28204-2990 · Phone (980) 442-2000
Location 42900 W OKLAHOMA AVE, 5TH FLOOR GALLERIAMILWAUKEE, WI 53215-4330 · Phone (414) 646-2250
Location 51025 Morehead Medical Dr, Ste 300Charlotte, NC 28204-2963 · Phone (704) 355-1813

Other Identifiers 1

Medicaid100379157WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Raul 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 ID1456588946
PECOS Enrollment IDI20181002003599
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jose Soto reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Medical Center
Same address
Surgical Critical Care
1025 MOREHEAD MEDICAL DR, STE 500
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1699979732 (704) 347-4033
The Charlotte-Mecklenburg Hospital Authority
Same address
Gastroenterology
1025 MOREHEAD MEDICAL DR, STE 300
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1992173165 (704) 355-4593
Aurora Medical Group, Inc.
659 mi
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

LAURENCE BYRON KEMPTON MD
Orthopaedic Surgery
1025 MOREHEAD MEDICAL DR, STE 300
CHARLOTTE, NC 28204
Mecklenburg County (704) 446-2060
JACKIE ALAN LUCAS MD
Obstetrics & Gynecology
1025 MOREHEAD MEDICAL DR, STE 450
CHARLOTTE, NC 28204
Mecklenburg County (704) 446-7800
KEVIN RICHARD KASTEN MD
Surgery
1025 MOREHEAD MEDICAL DR, STE 300
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-1813
ROLAND PIXLEY MD
Obstetrics & Gynecology
1025 MOREHEAD MEDICAL DR, STE 400
CHARLOTTE, NC 28204
Mecklenburg County (704) 446-1700
MICHAEL PASSERI MD
Surgery
1025 MOREHEAD MEDICAL DR, SUITE 600
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-8816
KATHY SHARON SHIELDS CNM
Advanced Practice Midwife
1025 MOREHEAD MEDICAL DR, STE 400
CHARLOTTE, NC 28204
Mecklenburg County (704) 446-1700
ROBERT THOMAS YAVORSKI JR.
Internal Medicine (Gastroenterology)
1025 MOREHEAD MEDICAL DR, 3RD FLOOR
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-4593
PAUL DOMINICK COLAVITA MD
Surgery
1025 MOREHEAD MEDICAL DR, STE 300
CHARLOTTE, NC 28204
Mecklenburg County (704) 355-1813

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 Jose Soto's NPI number?

The NPI number for Jose Soto is 1063707578. It was assigned to this individual provider in the NPPES registry on June 13, 2011.

Where is Jose Soto located?

Jose Soto practices at 1025 Morehead Medical Dr Ste 600, Charlotte, NC 28204. The listed phone number is (704) 355-8816.

What is Jose Soto's specialty?

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

Is Jose Soto enrolled in Medicare?

Yes. Jose 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.

Which organizations bill Medicare for Jose Soto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Soto reassigns Medicare benefits to 3 organizations: Carolinas Medical Center (Charlotte, NC), The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC) and Aurora Medical Group, Inc. (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Soto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Soto accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Aspirus Health Plan and 6 other insurers list Jose 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 Jose Soto affiliated with any hospitals?

According to CMS data, Jose Soto is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Jose Soto was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.