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MR. JOHN ROBERT SOBOTKA PA-C
NPI 1154412161
Physician Assistant in Grosse Pointe Woods, MI

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
96.14/100
CMS Quality Rating
20045 MACK AVE, GROSSE POINTE WOODS, MI 48236(313) 884-5100 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Robert Sobotka Pa-c NPPES

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

MR. JOHN ROBERT SOBOTKA PA-C (NPI 1154412161) is an individual physician assistant in Grosse Pointe Woods, Michigan, licensed in Michigan (5601003842) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1154412161
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN ROBERT SOBOTKACredential: PA-C
Location Address20045 MACK AVEGrosse Pointe Woods, MI 48236-2322
Mailing Address20045 Mack AveGrosse Pointe Woods, MI 48236-2322 · (586) 873-2758
Phone(313) 884-5100
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 27, 2006
Last NPPES UpdateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1154412161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601003842
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
20045 MACK AVE, Grosse Pointe Woods, MI 48236
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health, UnitedHealthcare.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

Mr. John Robert Sobotka Pa-c 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 ID4789652017
PECOS Enrollment IDI20040923000604
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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
247 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
229 services195 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
125 services102 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
113 services98 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
104 services92 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
57 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

96.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.98
Improvement Activities40
Cost97.83

Other Providers at the Same Location NPPES 3

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

DR. KATHERINE LYNN CARETTI M.D.
Dermatology
20045 MACK AVE
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 884-5100
DR. RICHARD JOHN FERRARA JR. MD
Dermatology
20045 MACK AVE
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 884-5100
FERRARA DERMATOLOGY CLINIC PC
Specialist
20045 MACK AVE
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 884-5100

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 John Sobotka's NPI number?

The NPI number for John Sobotka is 1154412161. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is John Sobotka located?

John Sobotka practices at 20045 Mack Ave, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 884-5100.

What is John Sobotka's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Sobotka enrolled in Medicare?

Yes. John Sobotka 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 John Sobotka accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list John Sobotka 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 John Sobotka was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.