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NICOLE SORIA M.D.
NPI 1619361052
Emergency Medicine in Cincinnati, OH

Active since March 24, 2015PECOS Enrolled
78.78/100
CMS Quality Rating
231 ALBERT SABIN WAY MSB 1654, UC EMERGENCY MEDICINE, CINCINNATI, OH 45267(513) 558-8124 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2024, Nov 16, 2020, Apr 10, 2020 and 2 more (5 updates tracked since 2019).

About Nicole Soria M.d. NPPES

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

NICOLE SORIA M.D. (NPI 1619361052) is an individual emergency medicine provider in Cincinnati, Ohio, licensed in Ohio (35136008) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1619361052
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameNICOLE SORIACredential: M.D.
Location Address231 ALBERT SABIN WAY MSB 1654, UC EMERGENCY MEDICINECincinnati, OH 45267
Mailing Address3300 Mercy Health BlvdCincinnati, OH 45211-1103 · (513) 215-1114 · Fax (513) 558-5791
Phone(513) 558-8124
Sole ProprietorNo
Enumeration DateMarch 24, 2015
Last NPPES UpdateAugust 5, 20245 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1619361052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OH · 35136008✔ Licensed in OH · 57.025954
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 35136008 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
231 ALBERT SABIN WAY MSB 1654, Cincinnati, OH 45267
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Secondary Practice Location 1

Location 14777 E Galbraith RdCincinnati, OH 45236-2725 · Phone (513) 558-5281 · Fax (513) 558-5791

Other Identifiers 1

Other35.136008OH · State Medical Board Of Ohio

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, 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 (PECOS)

Nicole Soria 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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
140 services140 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.
68 services68 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
54 services53 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45267 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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 Nicole Soria's NPI number?

The NPI number for Nicole Soria is 1619361052. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Where is Nicole Soria located?

Nicole Soria practices at 231 Albert Sabin Way Msb 1654 Uc Emergency Medicine, Cincinnati, OH 45267. The listed phone number is (513) 558-8124.

What is Nicole Soria's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicole Soria enrolled in Medicare?

Yes. Nicole Soria is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Soria accept?

Health plans from Molina Healthcare and Oscar Health Insurance list Nicole Soria 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 Nicole Soria was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.