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PEDRO MIGUEL ALVAREZ SOTO
NPI 1609220698
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Miami, FL

Active since April 16, 2016PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1611 NW 12TH AVE STE 4070, MIAMI, FL 33136(305) 243-4960(305) 243-3634 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2020, Jul 6, 2020, May 22, 2020 (3 updates tracked since 2020).

About Pedro Miguel Alvarez Soto NPPES

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

PEDRO MIGUEL ALVAREZ SOTO (NPI 1609220698) is an individual urogynecology and reconstructive pelvic surgery provider in Miami, Florida, licensed in Florida (ME162487) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2016).

NPPES Registry Identity

NPI1609220698
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NamePEDRO MIGUEL ALVAREZ SOTO
Location Address1611 NW 12TH AVE STE 4070Miami, FL 33136-1005
Mailing Address1611 Nw 12th Ave Ste 4070Miami, FL 33136-1005 · (305) 243-4960 · Fax (305) 243-3634
Phone(305) 243-4960
Fax(305) 243-3634
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2016
Enumeration DateApril 16, 2016
Last NPPES UpdateJune 29, 20233 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1609220698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in FL · ME162487
Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License ME162487 (FL)
1611 NW 12TH AVE STE 4070, Miami, FL 33136
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Pedro Miguel Alvarez Soto 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 ID648682005
PECOS Enrollment IDI20230628000908
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
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.
23 services19 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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 Pedro Alvarez Soto's NPI number?

The NPI number for Pedro Alvarez Soto is 1609220698. It was assigned to this individual provider in the NPPES registry on April 16, 2016.

Where is Pedro Alvarez Soto located?

Pedro Alvarez Soto practices at 1611 NW 12th Ave Ste 4070, Miami, FL 33136. The listed phone number is (305) 243-4960.

What is Pedro Alvarez Soto's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Pedro Alvarez Soto enrolled in Medicare?

Yes. Pedro Alvarez 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 Pedro Alvarez Soto accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Pedro Alvarez 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.

Is Pedro Alvarez Soto affiliated with any hospitals?

According to CMS data, Pedro Alvarez Soto is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Pedro Alvarez Soto was last updated on June 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.