DR. RODOLFO SOCA M.D
NPI 1427288323
Internal Medicine - Sleep Medicine in Bozeman, MT

Active since July 26, 2009PECOS EnrolledAccepts Medicare Assignment
80.8/100
CMS Quality Rating
3905 WELLNESS WAY, BOZEMAN, MT 59718(406) 414-5000 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2025, Apr 3, 2025, Jul 21, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Rodolfo Soca M.d NPPES

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

DR. RODOLFO SOCA M.D (NPI 1427288323) is an individual sleep medicine provider in Bozeman, Montana, licensed in Montana (MED-PHYS-LIC-111859) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Bozeman Health Deaconess Hospital, and maintains a secondary practice location in Bozeman.

NPPES Registry Identity

NPI1427288323
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. RODOLFO SOCACredential: M.D
Location Address3905 WELLNESS WAYBozeman, MT 59718-2402
Mailing Address915 Highland BlvdBozeman, MT 59715-6902 · (406) 414-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 26, 2009
Last NPPES UpdateApril 9, 20254 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1427288323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
Licenses Licensed in MT · MED-PHYS-LIC-111859 Licensed in MN · 57904 Licensed in IL · 036130573
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036130573 (IL)
3905 WELLNESS WAY, Bozeman, MT 59718

Secondary Practice Location 1

Location 1937 Highland Blvd Ste 5410Bozeman, MT 59715-6916 · Phone (406) 414-4260 · Fax (406) 414-3610

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

Dr. Rodolfo Soca 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 ID9133344781
PECOS Enrollment IDI20220504001556
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 14

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 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.
143 services128 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
87 services79 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
84 services84 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
82 services82 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.
72 services65 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

Hospital Affiliations CMS Care Compare

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

Bozeman Health Deaconess Hospital

Acute Care Hospitals · Bozeman, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270057
Location915 Highland Blvd Suite 3310Bozeman, MT 59715 · Gallatin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59718 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
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.

80.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.76
Promoting Interoperability87
Improvement Activities40
Cost58.08

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
16 suppliers97 claims97 services$38.44 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers54 claims54 services$90.42 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers53 claims109 services$33.45 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers31 claims157 services$14.21 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers24 claims96 services$14.68 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
14 suppliers57 claims57 services$46.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Registered Nurse (Diabetes Educator)
3905 WELLNESS WAY
BOZEMAN, MT 59718
Physical Therapist
3905 WELLNESS WAY
BOZEMAN, MT 59718
General Acute Care Hospital
3905 WELLNESS WAY
BOZEMAN, MT 59718
Internal Medicine (Gastroenterology)
3905 WELLNESS WAY
BOZEMAN, MT 59718
Internal Medicine
3905 WELLNESS WAY
BOZEMAN, MT 59718
Physician Assistant
3905 WELLNESS WAY
BOZEMAN, MT 59718
Family Medicine
3905 WELLNESS WAY
BOZEMAN, MT 59718
Pharmacy (Community/Retail Pharmacy)
3905 WELLNESS WAY
BOZEMAN, MT 59718

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 Rodolfo Soca's NPI number?

The NPI number for Rodolfo Soca is 1427288323. It was assigned to this individual provider in the NPPES registry on July 26, 2009.

Where is Rodolfo Soca located?

Rodolfo Soca practices at 3905 Wellness Way, Bozeman, MT 59718. The listed phone number is (406) 414-5000.

What is Rodolfo Soca's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Rodolfo Soca enrolled in Medicare?

Yes. Rodolfo Soca 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 Rodolfo Soca accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Rodolfo Soca 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 Rodolfo Soca affiliated with any hospitals?

According to CMS data, Rodolfo Soca is affiliated with Bozeman Health Deaconess Hospital.

When was this NPI record last updated?

The NPPES record for Rodolfo Soca was last updated on April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.