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OMAR E SOTO-AVILES M.D.
NPI 1447480645
Urology in Bayamon, PR

Active since July 22, 2009PECOS EnrolledAccepts Medicare Assignment
BAYAMON MEDICAL PLAZA CARR 2 KM 11.7, SUITE 904, BAYAMON, PR 00959(787) 622-0817 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Omar E Soto-aviles M.d. NPPES

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

OMAR E SOTO-AVILES M.D. (NPI 1447480645) is an individual urology provider in Bayamon, Puerto Rico, licensed in Puerto Rico (18195) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Bayamon Medical Center, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1447480645
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameOMAR E SOTO-AVILESCredential: M.D.
Location AddressBAYAMON MEDICAL PLAZA CARR 2 KM 11.7, SUITE 904Bayamon, PR 00959
Mailing AddressBayamon Medical Plaza Carr 2 Km 11.7, Suite 904Bayamon, PR 00959 · (787) 622-0817
Phone(787) 622-0817
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2009
Enumeration DateJuly 22, 2009
Last NPPES UpdateOctober 28, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1447480645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in PR · 18195✔ Licensed in MI · 4301106450
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Secondary Practice Location 1

Location 14160 John R St, Suite 1021Detroit, MI 48201-2020 · Phone (313) 745-4123

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

Omar E Soto-aviles 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 ID7416265061
PECOS Enrollment IDI20191007002483
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.

Medicare Billing Reassignment

Medicare enrollment records show Omar Soto-aviles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Puerto Rico Urology Group LLC
Urology
103 CALLE DE DIEGO E
Mayaguez, PR 00680
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 14 clinicians in this Medicare group
NPI 1356764278 (787) 834-8160

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 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.

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.
48 services27 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Bayamon Medical Center

Acute Care Hospitals · Bayamon, PR
OwnershipProprietary
CMS Certification Number400032
LocationCarretera #2 Km 11 7Bayamon, PR 00960 · Bayamon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00959 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
83%501 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%87 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
11%648 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%648 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%648 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
13%648 patients
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.

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 Omar Soto-aviles's NPI number?

The NPI number for Omar Soto-aviles is 1447480645. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Omar Soto-aviles located?

Omar Soto-aviles practices at Bayamon Medical Plaza Carr 2 Km 11.7 Suite 904, Bayamon, PR 00959. The listed phone number is (787) 622-0817.

What is Omar Soto-aviles's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Omar Soto-aviles enrolled in Medicare?

Yes. Omar Soto-aviles 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 Omar Soto-aviles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Soto-aviles reassigns Medicare benefits to Puerto Rico Urology Group LLC (Mayaguez, PR). 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 Omar Soto-aviles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Omar Soto-aviles affiliated with any hospitals?

According to CMS data, Omar Soto-aviles is affiliated with Bayamon Medical Center.

When was this NPI record last updated?

The NPPES record for Omar Soto-aviles was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.