DR. GERARDO SOTO M.D.
NPI 1902197445
General Practice in Enid, OK

Active since May 02, 2011PECOS EnrolledAccepts Medicare Assignment
3917 TWILIGHT AVE, ENID, OK 73703(580) 484-2965 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Gerardo Soto M.d. NPPES

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

DR. GERARDO SOTO M.D. (NPI 1902197445) is an individual general practice provider in Enid, Oklahoma, licensed in Puerto Rico (18678) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1902197445
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. GERARDO SOTOCredential: M.D.
Location Address3917 TWILIGHT AVEEnid, OK 73703-3614
Mailing Address212 S Florida StBushnell, FL 33513-6703 · (352) 793-2441 · Fax (352) 793-3282
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMay 2, 2011
Last NPPES UpdateOctober 10, 2017
✔ NPI 1902197445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in PR · 18678✔ Licensed in FL · ACN943
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3917 TWILIGHT AVE, Enid, OK 73703

Accepted 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. Gerardo Soto 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 ID4183941313
PECOS Enrollment IDI20180412000173
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 13

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.

Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
60 services35 patients
Liver function blood test panel 80076
A liver function blood test panel helps check the health of your liver. It measures various proteins, liver enzymes, and bilirubin in your blood. If these levels are too high or too low, it could signal a liver problem. It's a simple, non-invasive test that involves drawing blood.
59 services34 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
57 services34 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
54 services34 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
52 services35 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
52 services32 patients

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.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims4,275 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers12 claims12 services$23.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gerardo Soto's NPI number?

The NPI number for Gerardo Soto is 1902197445. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Where is Gerardo Soto located?

Gerardo Soto practices at 3917 Twilight Ave, Enid, OK 73703. The listed phone number is (580) 484-2965.

What is Gerardo Soto's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gerardo Soto enrolled in Medicare?

Yes. Gerardo 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 Gerardo Soto accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Gerardo 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.

When was this NPI record last updated?

The NPPES record for Gerardo Soto was last updated on October 10, 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.