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MICHAEL ANTHONY SORTO M.D.
NPI 1568810323
Pediatrics in Tyler, TX

Active since June 01, 2016PECOS Enrolled
3593 E GRANDE BLVD, TYLER, TX 75707(903) 839-2585 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 5, 2021, Feb 24, 2021 (2 updates tracked since 2021).

About Michael Anthony Sorto M.d. NPPES

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

MICHAEL ANTHONY SORTO M.D. (NPI 1568810323) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (S8253) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568810323
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMICHAEL ANTHONY SORTOCredential: M.D.
Location Address3593 E GRANDE BLVDTyler, TX 75707-1400
Mailing AddressPo Box 846098Dallas, TX 75284-0001 · (903) 324-6400
Phone(903) 839-2585
Sole ProprietorNo
Enumeration DateJune 1, 2016
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1568810323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · S8253✔ Licensed in ZZ · 11546
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3593 E GRANDE BLVD, Tyler, TX 75707
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13593 E Grande BlvdTyler, TX 75707-1400 · Phone (903) 839-2585
Location 24422 3rd Ave, Mills building , 4th floorBronx, NY 10457-2545 · Phone (718) 960-6635

Other Identifiers 3

Medicaid417720601TX
Medicaid417720602TX
Other1H6148TX · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Anthony Sorto M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michael Sorto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christus Trinity Clinic Texas
5.4 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75707 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY JAMES LEE APRN, FNP-C
Nurse Practitioner (Family)
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (507) 358-7123
DR. ANDREW O'KELLEY D.O.
Family Medicine
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
RYAN L RATLIFF MD
Family Medicine (Obesity Medicine)
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
MS. JILL ANN CAMPBELL MS, RD, LD, CDE
Dietitian, Registered
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
JINAL GANGAR MD
Family Medicine (Sleep Medicine)
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
CHRISTUS TRINITY CLINIC
Durable Medical Equipment & Medical Supplies
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
KATIE STORRS P.A.-C
Physician Assistant
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 606-1664
LISA DANIELLE PROCTOR APRN FNP-C
Nurse Practitioner (Family)
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 606-1664

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 Michael Sorto's NPI number?

The NPI number for Michael Sorto is 1568810323. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Michael Sorto located?

Michael Sorto practices at 3593 E Grande Blvd, Tyler, TX 75707. The listed phone number is (903) 839-2585.

What is Michael Sorto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Sorto enrolled in Medicare?

Yes. Michael Sorto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Sorto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Sorto reassigns Medicare benefits to Christus Trinity Clinic Texas (Tyler, TX). 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 Michael Sorto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Sorto accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Michael Sorto 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 Michael Sorto was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.