Active NPI 1801823729 Individual Practitioner Male Practitioner

Dr. Leland J Soto , MD

Surgery • Derby, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Leland Soto, MD is a certified Surgery practicing in Derby, CT. With approximately 28 years of clinical experience since graduating from Geisel School Of Medicine At Dartmouth in 1998, Dr. Soto delivers high-quality medical care to the local community at 350 SEYMOUR AVE STE 101.

Dr. Soto is affiliated with Griffin Faculty Physicians Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, 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

350 Seymour Ave Ste 101

Derby, CT 064181336

Telephone 2037323443

Fax 8552871988

Associated Practice Facility / Clinic

🏢 General And Laproscopic Surgical Facility NPI 1720018336

Medicare Profile & Education

Medical School

Geisel School Of Medicine At Dartmouth

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Derby, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +1.7 yrs vs City Avg

City Avg: 26.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Derby, CT (388 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Soto (28 Years) 28 Yrs

Derby Specialty Average (26.3 Years) 26.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	46	33	$165.00	$96.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	33	$325.00	$138.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	11	$175.00	$83.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$350.00	$180.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$250.00	$139.28
47562 Removal of gallbladder using an endoscope	11	11	$3000.00	$685.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	16	$175.00	$82.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$325.00	$132.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$350.00	$176.58
99213 Established patient office or other outpatient visit, typically 15 minutes	29	22	$165.00	$96.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$250.00	$135.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$235.00	$119.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	34	$165.00	$92.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	11	$175.00	$67.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	28	$325.00	$134.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$343.72	$180.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	21	$250.00	$135.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$235.00	$122.10
49650 Repair of groin hernia using an endoscope	11	11	$2290.91	$524.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	17	$175.00	$75.08
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$165.00	$99.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$325.00	$144.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$235.00	$122.55
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	$182.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$250.00	$141.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$165.00	$80.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$235.00	$118.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	11	$175.00	$78.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$250.00	$117.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$325.00	$149.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$350.00	$171.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	40	$165.00	$80.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$235.00	$117.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	28	$325.00	$146.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$250.00	$117.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$350.00	$178.07
49650 Repair of groin hernia using an endoscope	13	13	$2492.31	$541.10
47562 Removal of gallbladder using an endoscope	13	13	$3000.00	$711.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$235.00	$116.53
99213 Established patient office or other outpatient visit, typically 15 minutes	42	36	$165.00	$75.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	36	$325.00	$145.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$250.00	$108.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	15	$175.00	$77.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$350.00	$171.82
47562 Removal of gallbladder using an endoscope	17	17	$3000.00	$692.81
49650 Repair of groin hernia using an endoscope	12	12	$2250.00	$487.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	59	$165.00	$77.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	36	$175.00	$76.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$235.00	$116.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	41	$325.00	$144.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$250.00	$112.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$350.00	$169.67
49650 Repair of groin hernia using an endoscope	15	15	$2400.00	$457.80
47562 Removal of gallbladder using an endoscope	15	15	$3000.00	$678.65

Medical Specialties & State Licenses

CMS Verified: 2021-03-24

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CT 043520

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

Griffin Faculty Physicians Inc

130 Division St, Derby, CT 064181326

Phone: 2037321352

Griffin Faculty Physicians Inc

350 Seymour Ave, Derby, CT 064181336

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Deepali Jain , MD

Surgery

NPI 1013203082

Doctor of Medicine (M.D.)

Dr. Ihor Ponomarenko , MD

Surgery

NPI 1568491181

Doctor of Medicine (M.D.)

Dr. Daniel Lavy , MD

Colon & Rectal Surgery

NPI 1578841797

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location October 12, 2018

Registered at 350 SEYMOUR AVE STE 101, DERBY, CT 064181336 (Tel: 2037323443)

📍

Updated Business Mailing Address October 12, 2018

Registered at 67 MAPLE AVE, DERBY, CT 064181328 (Tel: 2037321330)

✅

NPI Profile Active May 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2013

Registered at 350 SEYMOUR AVE, SUITE 101, DERBY, CT 064181336 (Tel: 2037323443)

📍

Updated Business Mailing Address May 31, 2013

Registered at 350 SEYMOUR AVE, SUITE 101, DERBY, CT 064181336 (Tel: 2037323443)

👤

Provider Name / Credentials Updated May 31, 2013

Recorded as LELAND SOTO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2013

Surgery (License #043520 in CT)

🟢

Initial NPI Registration & Enumeration June 27, 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: 1801823729

Entity Type:

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

Enumeration Date: June 27, 2006

Last Update: March 24, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

67 Maple Ave

Derby, CT 064181328

Phone: 2037321330

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.