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DR. ABBY MICHELLE SOTERIN M.D.
NPI 1558664011
Internal Medicine in Omaha, NE

Active since December 06, 2010PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
982055 NEBRASKA MEDICAL CTR, OMAHA, NE 68198(402) 559-4000 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Abby Michelle Soterin M.d. NPPES

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

DR. ABBY MICHELLE SOTERIN M.D. (NPI 1558664011) is an individual internal medicine provider in Omaha, Nebraska, licensed in Nebraska (6229) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1558664011
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ABBY MICHELLE SOTERINCredential: M.D.
Location Address982055 NEBRASKA MEDICAL CTROmaha, NE 68198-2055
Mailing Address982055 Nebraska Medical CtrOmaha, NE 68198-2055 · (402) 559-4000
Phone(402) 559-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 6, 2010
Last NPPES UpdateJune 27, 2011
✔ NPI 1558664011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NE · 6229
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
982055 NEBRASKA MEDICAL CTR, Omaha, NE 68198
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Abby Michelle Soterin 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 ID5395974315
PECOS Enrollment IDI20140214000531
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 7

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.

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.
648 services284 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
289 services172 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
137 services134 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.
105 services51 patients
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.
97 services94 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
46 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Crete Area Medical Center

Critical Access Hospitals · Crete, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281354
LocationP O Box 220, 2910 Betten DrCrete, NE 68333 · Saline County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.97
Promoting Interoperability100
Improvement Activities40
Cost49.55

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%307 patients5/55-star benchmark: 100%
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.

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.

DR. JEFFREY SCOTT BUNSNESS MD
Internal Medicine
982055 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-7738
COLLIN ALAN GILMORE MD
Student in an Organized Health Care Education/Training Program
982055 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-7738
SARAH IVES
Internal Medicine
982055 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-0390
CONOR JAMES HOULIHAN MD
Student in an Organized Health Care Education/Training Program
982055 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-7738
DR. JOSEF AKWASI NTIM MD
Student in an Organized Health Care Education/Training Program
982055 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-7738
SPENCER QUINN JONES MD
Internal Medicine
982055 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-0390
CLAYTON KANE OAKLEY DO, MS, MA
Internal Medicine
982055 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-7268
SOLANO HENRIQUE CAMARGO CARDOSO MD
Internal Medicine
982055 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Douglas County (402) 559-0390

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 Abby Soterin's NPI number?

The NPI number for Abby Soterin is 1558664011. It was assigned to this individual provider in the NPPES registry on December 6, 2010.

Where is Abby Soterin located?

Abby Soterin practices at 982055 Nebraska Medical Ctr, Omaha, NE 68198. The listed phone number is (402) 559-4000.

What is Abby Soterin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abby Soterin enrolled in Medicare?

Yes. Abby Soterin 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 Abby Soterin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Abby Soterin 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 Abby Soterin affiliated with any hospitals?

According to CMS data, Abby Soterin is affiliated with Bryan Medical Center and Crete Area Medical Center.

When was this NPI record last updated?

The NPPES record for Abby Soterin was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.