DR. DORIS V COCA-SOTO M.D.
NPI 1093882631
Family Medicine in Alpena, MI

Active since November 29, 2006PECOS Enrolled
75/100
CMS Quality Rating
1185 US HIGHWAY 23 N, ALPENA, MI 49707(989) 356-4049 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2021, Jan 13, 2021, Jun 8, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Doris V Coca-soto M.d. NPPES

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

DR. DORIS V COCA-SOTO M.D. (NPI 1093882631) is an individual family medicine provider in Alpena, Michigan, licensed in Michigan (4301062190) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093882631
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DORIS V COCA-SOTOCredential: M.D.
Location Address1185 US HIGHWAY 23 NAlpena, MI 49707-8004
Mailing Address1035 W Washington AveAlpena, MI 49707-2929 · (989) 736-9815 · Fax (989) 358-3734
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateFebruary 2, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
NPI 1093882631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301062190
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1185 US HIGHWAY 23 N, Alpena, MI 49707

Other Identifiers 2

Other12057PR · Puerto Rico License
Other4301062190MI · Michigan State License

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 (PECOS)

Dr. Doris V Coca-soto M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,649 services458 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
465 services423 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49707 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%391 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$16.75 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier16 claims16 services$7.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
1185 US HIGHWAY 23 N
ALPENA, MI 49707
Pharmacist
1185 US HIGHWAY 23 N
ALPENA, MI 49707
Counselor
1185 US HIGHWAY 23 N
ALPENA, MI 49707
Nurse Practitioner (Family)
1185 US HIGHWAY 23 N
ALPENA, MI 49707
Physician Assistant
1185 US HIGHWAY 23 N
ALPENA, MI 49707
Social Worker (Clinical)
1185 US HIGHWAY 23 N
ALPENA, MI 49707
Internal Medicine
1185 US HIGHWAY 23 N, SUITE C
ALPENA, MI 49707
Social Worker
1185 US HIGHWAY 23 N
ALPENA, MI 49707

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 Doris Coca-soto's NPI number?

The NPI number for Doris Coca-soto is 1093882631. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Doris Coca-soto located?

Doris Coca-soto practices at 1185 Us Highway 23 N, Alpena, MI 49707. The listed phone number is (989) 356-4049.

What is Doris Coca-soto's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Doris Coca-soto enrolled in Medicare?

Yes. Doris Coca-soto is registered in the Medicare PECOS enrollment system.

What insurance does Doris Coca-soto accept?

Health plans from McLaren Health Plan Community and Priority Health list Doris Coca-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.

When was this NPI record last updated?

The NPPES record for Doris Coca-soto was last updated on February 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.