DR. MICHELLE SOTOS MD
NPI 1578599429
Hospitalist in Cincinnati, OH

Q: What is Michelle Sotos's NPI number?

The NPI number for Michelle Sotos is 1578599429. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Michelle Sotos'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 Michelle Sotos was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 23, 2006PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

375 DIXMYTH AVE, CINCINNATI, OH 45220(513) 862-3452(513) 862-3421 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Dr. Michelle Sotos Md NPPES

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

DR. MICHELLE SOTOS MD (NPI 1578599429) is an individual hospitalist provider in Cincinnati, Ohio, licensed in Ohio (35083117) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1578599429

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. MICHELLE SOTOSCredential: MD

Location Address375 DIXMYTH AVECincinnati, OH 45220-2475

Mailing AddressPo Box 636799Cincinnati, OH 45263-6799 · (513) 862-3452 · Fax (513) 862-3421

Phone(513) 862-3452

Fax(513) 862-3421

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJune 23, 2006

Last NPPES UpdateJune 26, 2015

✔ NPI 1578599429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in OH · 35083117

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.

375 DIXMYTH AVE, Cincinnati, OH 45220

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Other Identifiers 6

Medicaid200964440IN

Medicare PIN4118384OH

Medicaid2431890OH

Medicare PIN4118383OH

Medicare UPINH95677OH

Medicaid7100085950KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.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. Michelle Sotos Md 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 ID143134247

PECOS Enrollment IDI20031113000446

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

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.

160 services157 patients

Hospital Affiliations CMS Care Compare 3

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360046

Location110 North Poplar StreetOxford, OH 45056 · Butler County

Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

90.38/100

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

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

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…

79%124 patients4/55-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.

ERYNNE HAMILTON ARPN

Nurse Practitioner (Neonatal)

375 DIXMYTH AVE
CINCINNATI, OH 45220

Hamilton County (513) 862-2514

VICTORIA ELIZABETH SIMON MD

Student in an Organized Health Care Education/Training Program

375 DIXMYTH AVE
CINCINNATI, OH 45220

Hamilton County (513) 862-3562

JACOB CANNAN

Pharmacist (Critical Care)

375 DIXMYTH AVE
CINCINNATI, OH 45220

Hamilton County (513) 862-1400

MR. CASEY MCCONNELL GILMORE PA-C

Physician Assistant

375 DIXMYTH AVE, DEPARTMENT OF EMERGENCY MEDICINE
CINCINNATI, OH 45220

Hamilton County (513) 862-2989

ABIGAIL FAITH SOUTHALL APRN, AGACNP

Nurse Practitioner (Acute Care)

375 DIXMYTH AVE
CINCINNATI, OH 45220

Hamilton County (513) 862-1400

JAMES M MERANUS MD

Radiology (Diagnostic Radiology)

375 DIXMYTH AVE
CINCINNATI, OH 45220

Hamilton County (513) 965-8041

DR. COLLIN MICHAEL HERMAN MD

Psychiatry & Neurology (Neurology)

375 DIXMYTH AVE
CINCINNATI, OH 45220

Hamilton County (513) 865-2246

CHASE GREEN DO

Student in an Organized Health Care Education/Training Program

375 DIXMYTH AVE
CINCINNATI, OH 45220

Hamilton County (513) 862-3562

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 Michelle Sotos's NPI number?

The NPI number for Michelle Sotos is 1578599429. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Michelle Sotos located?

Michelle Sotos practices at 375 Dixmyth Ave, Cincinnati, OH 45220. The listed phone number is (513) 862-3452.

What is Michelle Sotos's specialty?

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

Is Michelle Sotos enrolled in Medicare?

Yes. Michelle Sotos 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 Michelle Sotos accept?

Health plans from CareSource and Oscar Health Insurance list Michelle Sotos 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 Michelle Sotos affiliated with any hospitals?

According to CMS data, Michelle Sotos is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Michelle Sotos was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.