DR. THERESA M. SOTO MD
NPI 1760442966
Obstetrics & Gynecology in Herndon, VA

Q: What is Theresa Soto's NPI number?

The NPI number for Theresa Soto is 1760442966. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Q: What is Theresa Soto's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Soto was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 March 23, 2006PECOS EnrolledAccepts Medicare Assignment

98.3/100

CMS Quality Rating

150 ELDEN ST, SUITE 210, HERNDON, VA 20170(855) 830-8346(240) 473-4321 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Theresa M. Soto Md NPPES

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

DR. THERESA M. SOTO MD (NPI 1760442966) is an individual obstetrics & gynecology provider in Herndon, Virginia, licensed in Virginia (0101221215) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1992).

NPPES Registry Identity

NPI1760442966

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. THERESA M. SOTOCredential: MD

Location Address150 ELDEN ST, SUITE 210Herndon, VA 20170-4861

Mailing Address7474 Greenway Center Dr, Suite 1000Greenbelt, MD 20770-3504 · (240) 965-3258 · Fax (240) 473-4321

Phone(855) 830-8346

Fax(240) 473-4321

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1992

Enumeration DateMarch 23, 2006

Last NPPES UpdateApril 26, 2016

✔ NPI 1760442966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in VA · 0101221215

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

150 ELDEN ST, Herndon, VA 20170

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Other Identifiers 3

Medicare UPINI17315VA

Medicare PING00710VA

Medicare PINGAO708812

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, UnitedHealthcare.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. Theresa M. Soto 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 ID9739148008

PECOS Enrollment IDI20041004000859, I20140205000383

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 14

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.

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

786 services294 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

476 services396 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.

285 services285 patients

Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance 36466

This procedure involves injecting a special chemical into problematic veins in your leg, using ultrasound technology to accurately target the veins. This helps to reduce issues like pain and swelling by improving blood flow in the leg.

189 services83 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.

185 services151 patients

Injection of chemical agent into multiple incompetent veins of leg 36471

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

149 services60 patients

Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465

This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.

128 services79 patients

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.

93 services81 patients

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475

This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.

88 services58 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

85 services42 patients

Injection of chemical agent into single incompetent vein 36470

This procedure involves injecting a chemical agent into a vein that isn't functioning properly. The chemical causes the vein to collapse and reroute blood to healthier veins. It's a common treatment for conditions like varicose veins.

45 services34 patients

Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482

This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.

34 services23 patients

Other procedure on blood vessel 37799

"Other procedures on blood vessels" refers to various medical interventions aimed at restoring or improving blood flow through the body's vessels. This can involve repair, removal, or rerouting of vessels, often to treat conditions like blockages or aneurysms. These procedures can be minimally invasive or require surgery.

23 services20 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490022

Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20170 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

98.3/100

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

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651

DME-Other DME · category DE000N

4 suppliers66 claims66 services$755.06 avg. paid by Medicare

Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667

DME-Other DME · category DE000N

4 suppliers68 claims135 services$267.99 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. SUSAN KIM SPAR DPT

Physical Therapist

150 ELDEN ST, SUITE 242
HERNDON, VA 20170

Fairfax County (703) 689-3737

JENNIFER BAKER LMT

Massage Therapist

150 ELDEN ST
HERNDON, VA 20170

Fairfax County (703) 481-1808

MRS. NICOLE LEONIE FAINSAN MSPT

Physical Therapist (Pediatrics)

150 ELDEN ST, SUITE 270
HERNDON, VA 20170

Fairfax County (571) 340-1922

ERICA L MARCHESSAULT DPT

Physical Therapist

150 ELDEN ST, SUITE 242
HERNDON, VA 20170

Fairfax County (703) 689-3737

DR. CARROLL ARTHUR JOHNSTON DDS

Dentist

150 ELDEN ST, SUITE 200
HERNDON, VA 20170

Fairfax County (703) 707-2070

DR. JENNIFER KUMIKO MILLER AU.D., CCC-A

Audiologist

150 ELDEN ST, SUITE 235
HERNDON, VA 20170

Fairfax County (703) 707-0002

LYNN WINGERD MSPT

Physical Therapist

150 ELDEN ST, SUITE 240
HERNDON, VA 20170

Fairfax County (703) 689-3737

MELISSA HUFFSTETLER

Physical Therapist

150 ELDEN ST, SUITE 242
HERNDON, VA 20170

Fairfax County (703) 689-3737

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 Theresa Soto's NPI number?

The NPI number for Theresa Soto is 1760442966. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Theresa Soto located?

Theresa Soto practices at 150 Elden St Suite 210, Herndon, VA 20170. The listed phone number is (855) 830-8346.

What is Theresa Soto's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Theresa Soto enrolled in Medicare?

Yes. Theresa 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 Theresa Soto accept?

Health plans from McLaren Health Plan Community and UnitedHealthcare list Theresa 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 Theresa Soto affiliated with any hospitals?

According to CMS data, Theresa Soto is affiliated with Mary Washington Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Soto was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.