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PRISCILLA SOTOMAYOR O.D.
NPI 1306127436
Optometrist in Miami, FL

Active since September 02, 2011PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
900 NW 17TH ST, MIAMI, FL 33136(305) 326-3132 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Priscilla Sotomayor O.d. NPPES

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

PRISCILLA SOTOMAYOR O.D. (NPI 1306127436) is an individual optometrist in Miami, Florida, licensed in Florida (OPC004635) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1306127436
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePRISCILLA SOTOMAYORCredential: O.D.
Location Address900 NW 17TH STMiami, FL 33136-1119
Mailing Address900 Nw 17th StMiami, FL 33136-1119 · (305) 326-3132
Phone(305) 326-3132
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 2, 2011
Last NPPES UpdateJuly 13, 2012
✔ NPI 1306127436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC004635
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
900 NW 17TH ST, Miami, FL 33136
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.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

Priscilla Sotomayor O.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 ID5092966903
PECOS Enrollment IDI20121126000544
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 9

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 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.
128 services105 patients
Contact lens services for lens covering entire cornea 92313
Contact lens services for the entire cornea involve providing custom-fit lenses that cover the whole cornea. These lenses help correct vision issues and provide comfort. They are carefully selected based on your eye's shape and health. Regular check-ups ensure optimal lens performance.
69 services69 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.
63 services59 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
40 services40 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.
26 services24 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

EFREM D MANDELCORN ND
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 326-6000
DIEGO LUNA CRNA
Nurse Anesthetist, Certified Registered
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-6411
DR. ARINDEL STEFON RAVINDRA MAHARAJ M.D., PH.D
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-2020
ZELIA MARIA CORREA MD, PHD
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 326-6000
JESSICA ADAMS OTR/L, CHT
Specialist
900 NW 17TH ST, RM 27
MIAMI, FL 33136
Miami-Dade County (305) 547-3703
TA CHEN PETER CHANG M.D.
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-2020
MR. JULIO CESAR FIGUEROA APRN
Nurse Anesthetist, Certified Registered
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 326-6523
MICHAEL CONRAD SCHNEIDER MD
Ophthalmology
900 NW 17TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-4000

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 Priscilla Sotomayor's NPI number?

The NPI number for Priscilla Sotomayor is 1306127436. It was assigned to this individual provider in the NPPES registry on September 2, 2011.

Where is Priscilla Sotomayor located?

Priscilla Sotomayor practices at 900 NW 17th St, Miami, FL 33136. The listed phone number is (305) 326-3132.

What is Priscilla Sotomayor's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Priscilla Sotomayor enrolled in Medicare?

Yes. Priscilla Sotomayor 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 Priscilla Sotomayor accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Priscilla Sotomayor 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 Priscilla Sotomayor was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.