DR. ERIK F. SOTO M.D.
NPI 1942731591
Emergency Medicine in Carlisle, PA

Q: What is Erik Soto's NPI number?

The NPI number for Erik Soto is 1942731591. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Q: What is Erik Soto's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Erik Soto was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 24, 2017PECOS EnrolledAccepts Medicare Assignment

92.3/100

CMS Quality Rating

361 ALEXANDER SPRING RD, CARLISLE, PA 17015(717) 988-0000(717) 782-5716 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2023, Feb 24, 2023, Mar 24, 2017 (3 updates tracked since 2017).

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About Dr. Erik F. Soto M.d. NPPES

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

DR. ERIK F. SOTO M.D. (NPI 1942731591) is an individual emergency medicine provider in Carlisle, Pennsylvania, licensed in Pennsylvania (MD480162) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1942731591

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. ERIK F. SOTOCredential: M.D.

Location Address361 ALEXANDER SPRING RDCarlisle, PA 17015-6940

Mailing Address500 University DrHershey, PA 17033-2360 · (800) 243-1455

Phone(717) 988-0000

Fax(717) 782-5716

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 24, 2017

Last NPPES UpdateNovember 6, 20233 updates tracked since enumeration

NPPES CertifiedNovember 6, 2023

✔ NPI 1942731591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in PA · MD480162

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

361 ALEXANDER SPRING RD, Carlisle, PA 17015

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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. Erik F. 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 ID1951675461

PECOS Enrollment IDI20250916002432

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

213 services210 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.

86 services85 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

49 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Hilo Medical Center

Acute Care Hospitals · Hilo, HI

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number120005

Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County

Emergency services Birthing friendly

North Hawaii Community Hospital, Inc

Acute Care Hospitals · Kamuela, HI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120028

Location67 1125 Mamalahoa HighwayKamuela, HI 96743 · Hawaii County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17015 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

92.3/100

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

Scored as part of a group practice

Quality

81.29

Improvement Activities

Cost

100

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.

DEBORAH BIDDLE CRNA

Nurse Anesthetist, Certified Registered