JOSE MIGUEL SOTO M.D.
NPI 1235592916
Neurological Surgery in Waco, TX

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
100 HILLCREST MEDICAL BLVD, WACO, TX 76712(254) 202-2000(254) 202-5849 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Sep 10, 2024, Aug 12, 2016 and 1 more (4 updates tracked since 2016).

About Jose Miguel Soto M.d. NPPES

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

JOSE MIGUEL SOTO M.D. (NPI 1235592916) is an individual neurological surgery provider in Waco, Texas, licensed in Texas (U9363) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1235592916
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJOSE MIGUEL SOTOCredential: M.D.
Location Address100 HILLCREST MEDICAL BLVDWaco, TX 76712-8897
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Fax(254) 202-5849
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateSeptember 24, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1235592916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in TX · U9363
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedAnesthesiologyTaxonomy 207L00000X · License MT210763 (PA)
100 HILLCREST MEDICAL BLVD, Waco, TX 76712

Secondary Practice Location 1

Location 1Geisinger Medical Ctr, 100 North Academy AvenueDanville, PA 17822-0001 · Phone (570) 271-6211

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

Jose Miguel Soto 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 ID7719272376
PECOS Enrollment IDI20240603004221
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 2

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 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.
34 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450101
Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

Internal Medicine
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Nurse Practitioner (Neonatal)
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Nurse Practitioner (Family)
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Nurse Practitioner (Neonatal, Critical Care)
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Anesthesiologist Assistant
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Nurse Practitioner (Neonatal)
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Nurse Anesthetist, Certified Registered
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Pharmacist
100 HILLCREST MEDICAL BLVD
WACO, TX 76712

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 1235592916. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Jose Soto located?

Jose Soto practices at 100 Hillcrest Medical Blvd, Waco, TX 76712. The listed phone number is (254) 202-2000.

What is Jose Soto's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

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.

What insurance does Jose Soto accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas 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 Baylor Scott & White Medical Center - Temple and Baylor Scott & White Medical Center Hillcrest.

When was this NPI record last updated?

The NPPES record for Jose Soto was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.