PRISCILLA SOTOMAYOR O.D.
NPI 1306127436
Optometrist in Miami, FL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Priscilla Sotomayor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33136
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
Which organization bills Medicare for Priscilla Sotomayor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priscilla Sotomayor reassigns Medicare benefits to University Of Miami (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Priscilla Sotomayor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priscilla Sotomayor accept?
Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers 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.
# Priscilla Sotomayor, O.D. · NPI 1306127436
Optometrist provider in Miami, Florida. Individual provider, active in the CMS NPPES registry since September 2, 2011.
## Identity
- **NPI:** 1306127436 (Entity type: Individual)
- **Enumerated:** September 2, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPC004635 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 NW 17TH ST, Miami, FL 33136-1119
- **Phone:** (305) 326-3132
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** University Of Miami (NPI 1073550398, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 13, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1306127436) · Data from the CMS NPPES public registry.