DR. LUIS F SOTO MD
NPI 1124064092
Internal Medicine - Cardiovascular Disease in Metairie, LA

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4300 HOUMA BLVD, SUITE 107, METAIRIE, LA 70006(504) 455-3500(504) 455-3006 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Luis F Soto Md NPPES

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

DR. LUIS F SOTO MD (NPI 1124064092) is an individual cardiovascular disease provider in Metairie, Louisiana, licensed in Louisiana (06730R) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1987).

NPPES Registry Identity

NPI1124064092
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. LUIS F SOTOCredential: MD
Location Address4300 HOUMA BLVD, SUITE 107Metairie, LA 70006
Mailing Address4300 Houma Blvd, Suite 107Metairie, LA 70006 · (504) 455-3500 · Fax (504) 455-3006
Fax(504) 455-3006
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1987
Enumeration DateJune 21, 2006
Last NPPES UpdateOctober 14, 2022
NPPES CertifiedOctober 14, 2022
NPI 1124064092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in LA · 06730R
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 06730R (LA)
4300 HOUMA BLVD, Metairie, LA 70006

Other Identifiers 1

Medicaid1367443LA

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. Luis F 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 ID6305743949
PECOS Enrollment IDI20031212000751
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 25

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 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.
630 services212 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.
314 services87 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
252 services62 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
159 services153 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
153 services87 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
142 services140 patients

Hospital Affiliations CMS Care Compare

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

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims38 services$6.36 avg. paid by Medicare
Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
2 suppliers19 claims19 services$2,140.77 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 7

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

Family Medicine
4300 HOUMA BLVD, SUITE 108
METAIRIE, LA 70006
Family Medicine
4300 HOUMA BLVD, SUITE 205
METAIRIE, LA 70006
Urology
4300 HOUMA BLVD, SUITE 203
METAIRIE, LA 70006
Clinic/Center
4300 HOUMA BLVD, SUITE 107
METAIRIE, LA 70006
Surgery (Vascular Surgery)
4300 HOUMA BLVD, SUITE 303
METAIRIE, LA 70006
Physician Assistant (Medical)
4300 HOUMA BLVD, SUITE 301
METAIRIE, LA 70006
Surgery (Vascular Surgery)
4300 HOUMA BLVD, SUITE 303
METAIRIE, LA 70006

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 Luis Soto's NPI number?

The NPI number for Luis Soto is 1124064092. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Luis Soto located?

Luis Soto practices at 4300 Houma Blvd Suite 107, Metairie, LA 70006. The listed phone number is (504) 455-3500.

What is Luis Soto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Luis Soto enrolled in Medicare?

Yes. Luis 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 Luis Soto accept?

Health plans from HMO Louisiana and UnitedHealthcare list Luis 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 Luis Soto affiliated with any hospitals?

According to CMS data, Luis Soto is affiliated with East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Luis Soto was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.