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DR. AUTUM LYNN DESOTO MD
NPI 1730404872
Pediatrics in Lubbock, TX

Active since April 01, 2010PECOS Enrolled
5215 96TH ST, LUBBOCK, TX 79424(806) 780-6868(806) 780-2065 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Autum Lynn Desoto Md NPPES

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

DR. AUTUM LYNN DESOTO MD (NPI 1730404872) is an individual pediatrics provider in Lubbock, Texas, licensed in Texas (P6374) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730404872
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. AUTUM LYNN DESOTOCredential: MD
Location Address5215 96TH STLubbock, TX 79424-4413
Mailing Address5215 96th StLubbock, TX 79424-4413 · (806) 780-6868 · Fax (806) 780-2065
Phone(806) 780-6868
Fax(806) 780-2065
Sole ProprietorNo
Enumeration DateApril 1, 2010
Last NPPES UpdateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1730404872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · P6374
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5215 96TH ST, Lubbock, TX 79424
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Autum Lynn Desoto Md 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 Autum Desoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Group
4.9 mi
Family Medicine
2215 NASHVILLE AVE
Lubbock, TX 79410
  • Reassigned Medicare billing, Texas enrollment
  • 309 clinicians in this Medicare group
NPI 1376598904 (806) 725-4800

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 79424 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 4

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

CHERYL C. LANDRY, MD PA
Legal Medicine
5215 96TH ST
LUBBOCK, TX 79424
Lubbock County (806) 780-6868
RENATA MOLINAR FNP-C
Nurse Practitioner (Family)
5215 96TH ST
LUBBOCK, TX 79424
Lubbock County (806) 780-6868
DR. BROOKS TOLLEY ROGERS MD
Pediatrics
5215 96TH ST
LUBBOCK, TX 79424
Lubbock County (806) 780-6868
DR. AMANDA MALOUF GUETERSLOH MD
Pediatrics
5215 96TH ST
LUBBOCK, TX 79424
Lubbock County (806) 780-6868

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 Autum Desoto's NPI number?

The NPI number for Autum Desoto is 1730404872. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Where is Autum Desoto located?

Autum Desoto practices at 5215 96th St, Lubbock, TX 79424. The listed phone number is (806) 780-6868.

What is Autum Desoto's specialty?

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

Is Autum Desoto enrolled in Medicare?

Yes. Autum Desoto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Autum Desoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autum Desoto reassigns Medicare benefits to Covenant Medical Group (Lubbock, 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 Autum Desoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autum Desoto accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and WellPoint list Autum Desoto 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 Autum Desoto was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.