Active NPI 1932207255 Individual Practitioner Male Practitioner

Dr. David J. Soto , MD

Surgery • Santa Rosa, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. David Soto, MD is a certified Surgery practicing in Santa Rosa, CA. With approximately 31 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1995, Dr. Soto delivers high-quality medical care to the local community at 98 MONTGOMERY DR.

Dr. Soto is affiliated with Sutter Bay Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

98 Montgomery Dr
Ste C

Santa Rosa, CA 954046615

Telephone 7075910619

Fax 7075910617

Associated Practice Facility / Clinic

🏢 North Bay Medical Group, Inc. Facility NPI 1992716450

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Santa Rosa, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -0.5 yrs vs City Avg

City Avg: 31.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

26 Specialists

Practicing in Santa Rosa, CA (3346 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

78.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Soto (31 Years) 31 Yrs

Santa Rosa Specialty Average (31.5 Years) 31.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	148	$379.00	$139.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	162	162	$576.00	$180.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	48	$252.00	$81.37
99213 Established patient office or other outpatient visit, typically 15 minutes	48	41	$257.00	$99.33
49650 Repair of groin hernia using an endoscope	42	42	$2253.75	$538.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$478.00	$134.54
45380 Biopsy of large bowel using an endoscope	24	24	$1891.00	$126.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$725.00	$237.14
76705 Limited ultrasound scan of abdomen	15	15	$184.00	$28.47
47562 Removal of gallbladder using an endoscope	15	15	$3069.87	$655.57
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$2186.77	$246.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	14	$365.00	$113.71
49594 Initial repair of entrapped hernia of abdomen, 3-10 cm in length	11	11	$2767.42	$736.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	150	$364.00	$139.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$554.00	$181.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	45	$252.00	$83.48
99213 Established patient office or other outpatient visit, typically 15 minutes	32	26	$247.00	$100.07
49650 Repair of groin hernia using an endoscope	30	30	$2068.86	$531.76
45380 Biopsy of large bowel using an endoscope	24	24	$1801.00	$154.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$697.00	$240.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$478.00	$137.97
47562 Removal of gallbladder using an endoscope	16	16	$2870.76	$694.23
76705 Limited ultrasound scan of abdomen	15	15	$184.00	$30.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$365.00	$120.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	142	124	$240.00	$100.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$538.00	$181.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	77	$353.00	$139.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	48	$247.00	$75.60
49650 Repair of groin hernia using an endoscope	40	40	$2072.88	$542.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$354.00	$123.35
76705 Limited ultrasound scan of abdomen	23	23	$179.00	$30.80
47562 Removal of gallbladder using an endoscope	22	22	$2729.75	$707.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$464.00	$143.45
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$335.00	$105.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	100	$343.00	$142.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$522.00	$183.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	48	$240.00	$76.34
99213 Established patient office or other outpatient visit, typically 15 minutes	59	44	$233.00	$100.77
49650 Repair of groin hernia using an endoscope	26	26	$1882.46	$501.43
47562 Removal of gallbladder using an endoscope	21	21	$2757.60	$687.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$344.00	$123.36
76705 Limited ultrasound scan of abdomen	19	19	$163.00	$31.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$450.00	$144.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$461.00	$198.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	77	$329.00	$118.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$500.00	$175.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	40	$210.00	$76.37
99213 Established patient office or other outpatient visit, typically 15 minutes	45	39	$225.00	$81.92
99221 Initial hospital inpatient care per day, typically 30 minutes	42	42	$291.00	$107.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$330.00	$111.72
49650 Repair of groin hernia using an endoscope	31	31	$1814.87	$498.29
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$230.00	$83.38
47562 Removal of gallbladder using an endoscope	20	20	$2734.62	$687.34
76705 Limited ultrasound scan of abdomen	13	13	$158.00	$30.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	117	$329.00	$116.72
99213 Established patient office or other outpatient visit, typically 15 minutes	102	84	$225.00	$79.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$500.00	$174.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$330.00	$115.04
49650 Repair of groin hernia using an endoscope	47	47	$1816.77	$481.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	29	$210.00	$76.03
99221 Initial hospital inpatient care per day, typically 30 minutes	33	33	$291.00	$105.12
47562 Removal of gallbladder using an endoscope	30	30	$2716.75	$685.40
76705 Limited ultrasound scan of abdomen	28	28	$158.00	$30.90
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$230.00	$82.28
49585 Repair of hernia at navel (5 years or older)	16	16	$1543.22	$262.72
45300 Diagnostic examination of rectum and large bowel using an endoscope	15	15	$194.00	$25.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$489.00	$170.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	98	$322.00	$113.25
99213 Established patient office or other outpatient visit, typically 15 minutes	90	77	$220.00	$76.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$323.00	$111.63
49650 Repair of groin hernia using an endoscope	54	54	$1858.92	$485.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	28	$205.00	$74.80
76705 Limited ultrasound scan of abdomen	26	25	$154.00	$30.63
47562 Removal of gallbladder using an endoscope	26	26	$2716.62	$669.19
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$225.00	$79.14
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$284.00	$103.27
49651 Repair of recurrent groin hernia using an endoscope	11	11	$2120.73	$568.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	80	$316.64	$111.79
99213 Established patient office or other outpatient visit, typically 15 minutes	83	63	$210.73	$76.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$471.31	$169.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$311.45	$111.85
49650 Repair of groin hernia using an endoscope	26	26	$1702.21	$440.81
47562 Removal of gallbladder using an endoscope	24	24	$2536.97	$667.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$197.00	$73.88
76705 Limited ultrasound scan of abdomen	17	17	$127.00	$30.38
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$216.00	$77.81
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$273.00	$102.86

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A91733

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Sutter Bay Medical Foundation

795 El Camino Real, Palo Alto, CA 943012302

Phone: 4156001020

Sutter Bay Medical Foundation

3883 Airway Dr, Santa Rosa, CA 954031671

Sutter Bay Medical Foundation

34 Mark W Springs Rd, Santa Rosa, CA 954031436

Sutter Bay Medical Foundation

30 Mark W Springs Rd, Santa Rosa, CA 954031436

Phone: 7075764500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Natalia Balytsky , MD

Anesthesiology

NPI 1326146705

Doctor of Medicine (M.D.)

Dr. Paul Kefalides , MD

Internal Medicine - Gastroenterology

NPI 1790883080

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 98 MONTGOMERY DR, STE C, SANTA ROSA, CA 954046615 (Tel: 7075910619)

📍

Updated Business Mailing Address July 08, 2007

Registered at 98 MONTGOMERY DR, STE C, SANTA ROSA, CA 954046615 (Tel: 7075910619)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID SOTO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #A91733 in CA)

🟢

Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932207255

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 20, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

98 Montgomery Dr, Ste C

Santa Rosa, CA 954046615

Phone: 7075910619

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.