Active NPI 1003969056 Individual Practitioner Male Practitioner

Dr. Prashant Soni , MD

Plastic Surgery • Danbury, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prashant Soni, MD is a certified Plastic Surgery practicing in Danbury, CT. With approximately 27 years of clinical experience since graduating from Meharry Medical College School Of Medicine in 1999, Dr. Soni delivers high-quality medical care to the local community at 107 NEWTOWN RD.

Dr. Soni is affiliated with Advanced Specialty Care, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

107 Newtown Rd
2c

Danbury, CT 068104146

Telephone 2037919661

Fax 2037304162

Associated Practice Facility / Clinic

🏢 Allergy & Asthma Assoc., P.c. Facility NPI 1881690717

Medicare Profile & Education

Medical School

Meharry Medical College School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Danbury, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -1.3 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Danbury, CT (73 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Soni (27 Years) 27 Yrs

Danbury Specialty Average (28.3 Years) 28.3 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	82	61	$250.00	$138.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$350.00	$181.11
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$175.00	$98.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$425.00	$238.61
11042 Removal of skin and tissue, 20.0 sq cm or less	12	11	$550.00	$136.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$175.00	$125.57
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$1520.00	$384.48

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	81	45	$250.00	$135.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$350.00	$177.72
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$175.00	$96.99
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	16	13	$1520.00	$372.13
11646 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm	15	13	$1600.00	$543.52

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	70	57	$251.43	$136.67
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$175.00	$96.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$250.00	$122.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$350.00	$175.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$175.00	$108.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	53	$174.71	$99.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	51	$250.00	$139.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$350.00	$182.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$250.00	$122.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	14	$175.00	$110.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	108	64	$175.69	$82.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	52	$251.11	$118.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$250.00	$118.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$350.00	$179.93
11042 Removal of skin and tissue, 20.0 sq cm or less	18	11	$550.00	$134.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	12	$175.00	$112.92

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	134	77	$249.07	$116.34
99213 Established patient office or other outpatient visit, typically 15 minutes	133	81	$173.87	$80.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$250.00	$117.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$350.00	$177.62
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	20	$1450.00	$519.56
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	13	$1175.00	$409.97
11042 Removal of skin and tissue, 20.0 sq cm or less	14	12	$550.00	$135.14

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	101	64	$225.00	$114.75
99213 Established patient office or other outpatient visit, typically 15 minutes	85	55	$150.00	$78.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$350.00	$176.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$250.00	$116.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	17	$300.00	$155.58
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	17	$1150.00	$444.40
11042 Removal of skin and tissue, 20.0 sq cm or less	17	14	$550.00	$121.70
15733 Creation of flap graft to head and/or neck	12	11	$2850.00	$1100.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	54	$150.00	$78.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	44	$225.00	$115.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$250.00	$116.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$350.00	$175.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	13	$300.00	$154.65

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CT 040807

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001408071 (CT)

Hospital & Practice Group Affiliations

Advanced Specialty Care, P.c.

107 Newtown Rd, Danbury, CT 068104151

Phone: 2038304700

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. David Goldenberg , MD

Plastic Surgery

NPI 1184629545

Doctor of Medicine (M.D.)

Dr. Stacey June , DO

Surgery - Plastic and Reconstructive Surgery

NPI 1568609121

Doctor of Osteopathic Medicine (D.O.)

Deanne Margot Manthey , PA-C, MMSC

Physician Assistant

NPI 1609292317

Physician Assistant (Certified), MMSC

Michelle Grosso , PHYSICIAN ASSISTANT

Physician Assistant - Surgical

NPI 1629345053

PHYSICIANASSISTANT

Dr. Amir Nasir , MD

Plastic Surgery

NPI 1730210303

Doctor of Medicine (M.D.)

Dr. Mohammad Islam , MD

Plastic Surgery

NPI 1811992878

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 January 29, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2013

Registered at 107 NEWTOWN RD, 2C, DANBURY, CT 068104146 (Tel: 2037919661)

📍

Updated Business Mailing Address January 29, 2013

Registered at 107 NEWTOWN RD, 2C, DANBURY, CT 068104146 (Tel: 2037919661)

👤

Provider Name / Credentials Updated January 29, 2013

Recorded as PRASHANT SONI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2013

Plastic Surgery (License #040807 in CT)

🟢

Initial NPI Registration & Enumeration January 20, 2007

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: 1003969056

Entity Type:

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

Enumeration Date: January 20, 2007

Last Update: January 29, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

107 Newtown Rd, 2c

Danbury, CT 068104146

Phone: 2037919661

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.