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EDGAR A. SOTOMAYOR M.D.
NPI 1639284268
Pathology - Anatomic Pathology & Clinical Pathology in Butler, PA

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
911 E BRADY ST, BUTLER, PA 16001(724) 284-4510 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edgar A. Sotomayor M.d. NPPES

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

EDGAR A. SOTOMAYOR M.D. (NPI 1639284268) is an individual anatomic pathology & clinical pathology provider in Butler, Pennsylvania, licensed in Pennsylvania (MD427950) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Clarion Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1639284268
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameEDGAR A. SOTOMAYORCredential: M.D.
Location Address911 E BRADY STButler, PA 16001-4646
Mailing AddressPo Box 1549Butler, PA 16003-1549 · (724) 284-4084 · Fax (724) 284-4144
Phone(724) 284-4510
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 21, 2006
Last NPPES UpdateSeptember 20, 2007
✔ NPI 1639284268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in PA · MD427950✔ Licensed in NE · 23479
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
911 E BRADY ST, Butler, PA 16001
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified092240NE · Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edgar A. Sotomayor 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 ID1759335615
PECOS Enrollment IDI20071025000406
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 Edgar Sotomayor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Butler Medical Providers
0.3 mi
Family Medicine
480 E JEFFERSON ST STE A2
Butler, PA 16001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 482 clinicians in this Medicare group
NPI 1609231240 (833) 604-0435

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

Areas of Expertise CMS Part B claims 12

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
615 services409 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
413 services52 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
131 services87 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
107 services44 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
70 services20 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
60 services54 patients

Hospital Affiliations CMS Care Compare 4

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

Clarion Hospital

Acute Care Hospitals · Clarion, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390093
LocationOne Hospital DriveClarion, PA 16214 · Clarion County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 17

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

BUTLER MEMORIAL HOSPITAL
Rehabilitation, Substance Use Disorder Unit
911 E BRADY ST
BUTLER, PA 16001
Butler County (724) 284-4467
BUTLER MEMORIAL HOSPITAL
General Acute Care Hospital
911 E BRADY ST
BUTLER, PA 16001
Butler County (724) 284-4467
DR. WILLIAM A. MICHALAK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
911 E BRADY ST
BUTLER, PA 16001
Butler County (724) 284-4510
SURBHI AGARWAL
Family Medicine
911 E BRADY ST, MCCANDLESS CORPORATE CENTER BUILDING 111
BUTLER, PA 16001
Butler County (724) 285-0823
BUTLER MEMORIAL HOSPITAL
General Acute Care Hospital
911 E BRADY ST
BUTLER, PA 16001
Butler County (724) 284-4467
ROBERT A MCNERNEY DO
Internal Medicine
911 E BRADY ST
BUTLER, PA 16001
Butler County (724) 285-0823
DR. REGINALD LYON REGINELLA DO
Emergency Medicine
911 E BRADY ST
BUTLER, PA 16001
Butler County (724) 284-4550
MRS. BRENDA LIANNE NICHOL RD,CDE,LDN
Dietitian, Registered
911 E BRADY ST
BUTLER, PA 16001
Butler County (724) 477-3049

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 Edgar Sotomayor's NPI number?

The NPI number for Edgar Sotomayor is 1639284268. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Edgar Sotomayor located?

Edgar Sotomayor practices at 911 E Brady St, Butler, PA 16001. The listed phone number is (724) 284-4510.

What is Edgar Sotomayor's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Edgar Sotomayor enrolled in Medicare?

Yes. Edgar Sotomayor 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.

Which organization bills Medicare for Edgar Sotomayor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Sotomayor reassigns Medicare benefits to Butler Medical Providers (Butler, PA). 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 Edgar Sotomayor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Edgar Sotomayor affiliated with any hospitals?

According to CMS data, Edgar Sotomayor is affiliated with Clarion Hospital, Magee Womens Hospital Of Upmc Health System, Butler Memorial Hospital and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for Edgar Sotomayor was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.