DR. LUCIA SOTO M.D.
NPI 1497913578
Hospitalist in Anthem, AZ

Q: What is Lucia Soto's NPI number?

The NPI number for Lucia Soto is 1497913578. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Q: What is Lucia Soto's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Lucia Soto was last updated on December 20, 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.

Active since May 27, 2008PECOS EnrolledAccepts Medicare Assignment

70.3/100

CMS Quality Rating

3655 W ANTHEM WAY, SUITE #A109 PMB 313, ANTHEM, AZ 86086(623) 505-9880 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Lucia Soto M.d. NPPES

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

DR. LUCIA SOTO M.D. (NPI 1497913578) is an individual hospitalist provider in Anthem, Arizona, licensed in Arizona (42239) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2008).

NPPES Registry Identity

NPI1497913578

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. LUCIA SOTOCredential: M.D.

Location Address3655 W ANTHEM WAY, SUITE #A109 PMB 313Anthem, AZ 86086

Mailing Address3655 W Anthem Way, Suite #a109 Pmb 313Anthem, AZ 86086 · (623) 505-9880

Phone(623) 505-9880

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2008

Enumeration DateMay 27, 2008

Last NPPES UpdateDecember 20, 2022

NPPES CertifiedDecember 20, 2022

✔ NPI 1497913578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in AZ · 42239

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 42239 (AZ)

3655 W ANTHEM WAY, Anthem, AZ 86086

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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. Lucia 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 ID3971776899

PECOS Enrollment IDI20111109000173

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 4

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.

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.

255 services248 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

89 services40 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

82 services80 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

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.

70.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

40.27

Improvement Activities

Cost

71.99

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 Lucia Soto's NPI number?

The NPI number for Lucia Soto is 1497913578. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Lucia Soto located?

Lucia Soto practices at 3655 W Anthem Way Suite #a109 Pmb 313, Anthem, AZ 86086. The listed phone number is (623) 505-9880.

What is Lucia Soto's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Lucia Soto enrolled in Medicare?

Yes. Lucia 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 Lucia Soto accept?

Health plans from Molina Healthcare list Lucia 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.

When was this NPI record last updated?

The NPPES record for Lucia Soto was last updated on December 20, 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.