JILLIAN MARIE SOTO MD
NPI 1912499286
Family Medicine in Augusta, GA

Active since June 03, 2018PECOS EnrolledAccepts Medicare Assignment
1120 15TH STREET, AUGUSTA, GA 30912(706) 721-3157 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jillian Marie Soto Md NPPES

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

JILLIAN MARIE SOTO MD (NPI 1912499286) is an individual family medicine provider in Augusta, Georgia, licensed in Georgia (009959) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912499286
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJILLIAN MARIE SOTOCredential: MD
Location Address1120 15TH STREETAugusta, GA 30912
Mailing Address1120 15th StreetAugusta, GA 30912
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 3, 2018
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
NPI 1912499286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in GA · 009959 Licensed in FL · ME154910
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.
1120 15TH STREET, Augusta, GA 30912

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

Jillian Marie 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 ID6709136351
PECOS Enrollment IDI20220615000943
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 5

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.
275 services120 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.
209 services114 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
162 services152 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.
89 services83 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.
30 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100099
Location410 S 11th StLake Wales, FL 33853 · Polk County
Emergency services

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Broward Health Imperial Point

Acute Care Hospitals · Fort Lauderdale, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100200
Location6401 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Broward Health Coral Springs

Acute Care Hospitals · Coral Springs, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100276
Location3000 Coral Hills DrCoral Springs, FL 33065 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 20

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

Internal Medicine (Cardiovascular Disease)
1120 15TH STREET
AUGUSTA, GA 30912
Pathology (Anatomic Pathology)
1120 15TH STREET
AUGUSTA, GA 30912
Nurse Anesthetist, Certified Registered
1120 15TH STREET
AUGUSTA, GA 30912
Anesthesiology
1120 15TH STREET
AUGUSTA, GA 30912
Nurse Anesthetist, Certified Registered
1120 15TH STREET
AUGUSTA, GA 30912
Physician Assistant
1120 15TH STREET
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH STREET
AUGUSTA, GA 30912
Family Medicine
1120 15TH STREET
AUGUSTA, GA 30912

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 Jillian Soto's NPI number?

The NPI number for Jillian Soto is 1912499286. It was assigned to this individual provider in the NPPES registry on June 3, 2018.

Where is Jillian Soto located?

Jillian Soto practices at 1120 15th Street, Augusta, GA 30912. The listed phone number is (706) 721-3157.

What is Jillian Soto's specialty?

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

Is Jillian Soto enrolled in Medicare?

Yes. Jillian 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 Jillian Soto accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Jillian 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 Jillian Soto affiliated with any hospitals?

According to CMS data, Jillian Soto is affiliated with Winter Haven Hospital, Adventhealth Lake Wales, Adventhealth Heart Of Florida, Broward Health Imperial Point and Broward Health Coral Springs.

When was this NPI record last updated?

The NPPES record for Jillian Soto was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.