HORACIO SOSA DO
NPI 1831545938
Family Medicine in Waco, TX

Q: What is Horacio Sosa's NPI number?

The NPI number for Horacio Sosa is 1831545938. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Q: What is Horacio Sosa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Horacio Sosa was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 06, 2016PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1600 PROVIDENCE DR, WACO, TX 76707(254) 313-4200(254) 313-4531 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Horacio Sosa Do NPPES

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

HORACIO SOSA DO (NPI 1831545938) is an individual family medicine provider in Waco, Texas, licensed in Texas (R4903) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831545938

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameHORACIO SOSACredential: DO

Location Address1600 PROVIDENCE DRWaco, TX 76707-2261

Mailing Address1600 Providence DrWaco, TX 76707-2261 · (254) 313-4200 · Fax (254) 313-4326

Phone(254) 313-4200

Fax(254) 313-4531

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 6, 2016

Last NPPES UpdateNovember 15, 2017

✔ NPI 1831545938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · R4903✔ Licensed in TX · BP10057226

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1600 PROVIDENCE DR, Waco, TX 76707

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Horacio Sosa Do 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 ID8820357486

PECOS Enrollment IDI20180108000168

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 Reassignments

Medicare enrollment records show Horacio Sosa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart Of Texas Region Mhmr Center

1.1 mi

Mental Health (Including Community Mental Health Center)

110 S 12TH ST
Waco, TX 76701

Reassigned Medicare billing, Texas enrollment
172 clinicians in this Medicare group

NPI 1639399132 (254) 752-3451

Mclennan County Hospitalist Services PA

4.1 mi

Internal Medicine

6901 MEDICAL PARKWAY
Waco, TX 76712

Reassigned Medicare billing, Texas enrollment
29 clinicians in this Medicare group

NPI 1639242548 (254) 741-0172

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

825 services285 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.

266 services114 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

259 services242 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

228 services219 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

57 services28 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Parkview Regional Hospital

Acute Care Hospitals · Mexia, TX

OwnershipProprietary

CMS Certification Number450400

Location600 South Bonham StreetMexia, TX 76667 · Limestone County

Emergency services

Freestone Medical Center

Acute Care Hospitals · Fairfield, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450658

Location125 Newman StFairfield, TX 75840 · Freestone County

Emergency services

Coryell Memorial Hospital

Critical Access Hospitals · Gatesville, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451379

Location1507 W Main StreetGatesville, TX 76528 · Coryell County

Emergency services

Goodall Witcher Hospital

Critical Access Hospitals · Clifton, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451385

Location101 Posey AvenueClifton, TX 76634 · Bosque County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76707 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.

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.

75/100

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

Individually scored

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers21 claims21 services$15.97 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers22 claims22 services$84.00 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.

ALLISON L HULME MD

Family Medicine