SOTERIA E KARAHALIOS M.D.
NPI 1235273376
Internal Medicine - Cardiovascular Disease in Monterey, CA

Active since February 19, 2007PECOS EnrolledAccepts Medicare Assignment
83.48/100
CMS Quality Rating
23625 WR HOLMAN HIGHWAY, MONTEREY, CA 93940(831) 624-5311(831) 625-4948 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Soteria E Karahalios M.d. NPPES

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

SOTERIA E KARAHALIOS M.D. (NPI 1235273376) is an individual cardiovascular disease provider in Monterey, California, licensed in California (G34663) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1976).

NPPES Registry Identity

NPI1235273376
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSOTERIA E KARAHALIOSCredential: M.D.
Location Address23625 WR HOLMAN HIGHWAYMonterey, CA 93940
Mailing AddressP O Box Hh, Business Development & ContractingMonterey, CA 93940 · (831) 622-2716 · Fax (831) 625-4764
Fax(831) 625-4948
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1976
Enumeration DateFebruary 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1235273376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · G34663
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.

23625 WR HOLMAN HIGHWAY, Monterey, CA 93940

Other Identifiers 4

Medicare ID-Type Unspecified00G346630CA
Other00G346630CA · Blue Shield
Other110238054CA · Railroad
Medicare UPINA46020CA

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

Soteria E Karahalios M.d. 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 ID1153465091
PECOS Enrollment IDI20100216000833
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 22

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,074 services947 patients
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.
148 services106 patients
Ct scan of heart with evaluation of blood vessel calcium 75571
A CT scan of the heart with evaluation of blood vessel calcium is a non-invasive test that uses X-rays to create detailed images of your heart. It helps in detecting and measuring calcium-containing plaque in the arteries, which can indicate heart disease.
146 services146 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
76 services55 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.
55 services53 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.
55 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$139.84 typical visit price
range $61.69 – $184.30
Typical copayment $34.96 (range $15.42 – $46.07)
Most-billed visit code 99204
Established Patient
$76.53 typical visit price
range $20.34 – $151.02
Typical copayment $19.13 (range $5.08 – $37.75)
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.

83.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost44.95

Reported Quality Measures

Advance Care Plan
100%191 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
82%85 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
38%211 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
10%20 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
57%557 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%421 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 96% · 159 patients
96%159 patients
Provide Patients Electronic Access to Their Health Information
94%63 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%259 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 197 patients
Patients totalRate: 0% · 197 patients
0%197 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.

Other Providers at the Same Location NPPES 14

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

Dietitian, Registered
23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
Emergency Medicine
23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
Dietitian, Registered
23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
Marriage & Family Therapist
23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
Psychologist
23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
Pathology (Anatomic Pathology & Clinical Pathology)
23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
Physical Therapist
23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
Emergency Medicine
23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940

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 Soteria Karahalios's NPI number?

The NPI number for Soteria Karahalios is 1235273376. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Soteria Karahalios located?

Soteria Karahalios practices at 23625 Wr Holman Highway, Monterey, CA 93940. The listed phone number is (831) 624-5311.

What is Soteria Karahalios's specialty?

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

Is Soteria Karahalios enrolled in Medicare?

Yes. Soteria Karahalios 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 Soteria Karahalios was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.