Active NPI 1902197445 Individual Practitioner Male Practitioner

Dr. Gerardo Soto , MD

General Practice • Enid, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gerardo Soto, MD is a certified General Practice practicing in Enid, OK. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Soto delivers high-quality medical care to the local community at 3917 TWILIGHT AVE.

Dr. Soto is affiliated with Lowell F. Clark Md Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include blood test, basic group of blood chemicals (calcium, total), liver function blood test panel, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3917 Twilight Ave

Enid, OK 737033614

Telephone 5804842965

Associated Practice Facility / Clinic

🏢 Lowell F. Clark Md Pa Facility NPI 1629278882

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Enid, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs Matches City Avg

City Avg: 18.0 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Enid, OK (175 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Soto (18 Years) 18 Yrs

Enid Specialty Average (18.0 Years) 18.0 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
80048 Blood test, basic group of blood chemicals (calcium, total)	60	35	$35.73	$8.29
80076 Liver function blood test panel	59	34	$34.47	$8.01
83036 Hemoglobin A1C level	57	34	$40.98	$9.52
80061 Blood test, lipids (cholesterol and triglycerides)	54	34	$56.55	$13.12
81002 Urinalysis, manual test	52	35	$27.00	$3.41
82043 Urine microalbumin (protein) level	52	32	$19.32	$5.66
82570 Creatinine level to test for kidney function or muscle injury	51	32	$10.00	$5.08
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	45	32	$32.82	$7.61
G0444 Annual depression screening, 5 to 15 minutes	28	28	$36.00	$17.78
G0442 Annual alcohol misuse screening, 5 to 15 minutes	28	28	$36.00	$17.15
84443 Blood test, thyroid stimulating hormone (TSH)	24	22	$70.92	$16.46
84481 Thyroid hormone, t3 measurement, free	24	22	$66.39	$16.60
84439 Thyroxine (thyroid chemical), free	24	22	$38.07	$8.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80076 Liver function blood test panel	61	41	$34.47	$8.01
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	60	39	$32.82	$7.61
80061 Blood test, lipids (cholesterol and triglycerides)	57	40	$56.55	$13.12
81002 Urinalysis, manual test	57	37	$27.00	$3.41
83036 Hemoglobin A1C level	56	36	$40.98	$9.52
80048 Blood test, basic group of blood chemicals (calcium, total)	56	38	$35.73	$8.29
82043 Urine microalbumin (protein) level	48	31	$19.32	$5.66
82570 Creatinine level to test for kidney function or muscle injury	47	30	$10.00	$5.08
84439 Thyroxine (thyroid chemical), free	36	30	$38.07	$8.84
84481 Thyroid hormone, t3 measurement, free	36	30	$66.39	$16.60
84443 Blood test, thyroid stimulating hormone (TSH)	36	30	$70.92	$16.46
82306 Vitamin d-3 level	19	18	$60.60	$29.01
G0444 Annual depression screening, 5 to 15 minutes	16	16	$36.00	$17.70
G0442 Annual alcohol misuse screening, 5 to 15 minutes	15	15	$36.00	$17.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	59	47	$32.82	$7.68
81002 Urinalysis, manual test	50	41	$27.00	$3.44
84443 Blood test, thyroid stimulating hormone (TSH)	40	35	$70.92	$16.61
84439 Thyroxine (thyroid chemical), free	40	35	$38.07	$8.92
84481 Thyroid hormone, t3 measurement, free	40	35	$66.39	$16.75
G0444 Annual depression screening, 5 to 15 minutes	28	28	$36.00	$18.36
G0442 Annual alcohol misuse screening, 5 to 15 minutes	28	28	$36.00	$18.68
80061 Blood test, lipids (cholesterol and triglycerides)	21	19	$56.55	$13.35
83036 Hemoglobin A1C level	18	18	$40.98	$9.69
80048 Blood test, basic group of blood chemicals (calcium, total)	18	17	$35.73	$8.44
80076 Liver function blood test panel	18	17	$34.47	$8.15
82570 Creatinine level to test for kidney function or muscle injury	13	13	$10.00	$5.17
82043 Urine microalbumin (protein) level	12	12	$11.83	$5.78
82306 Vitamin d-3 level	12	12	$60.60	$29.50
G0103 Prostate cancer screening; prostate specific antigen test (psa)	11	11	$77.67	$19.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	76	55	$32.82	$7.77
80061 Blood test, lipids (cholesterol and triglycerides)	72	55	$56.55	$13.20
83036 Hemoglobin A1C level	68	51	$40.98	$9.71
80048 Blood test, basic group of blood chemicals (calcium, total)	67	50	$35.73	$8.33
80076 Liver function blood test panel	66	49	$34.47	$8.17
84481 Thyroid hormone, t3 measurement, free	57	43	$66.39	$16.72
84443 Blood test, thyroid stimulating hormone (TSH)	57	43	$70.92	$16.80
84439 Thyroxine (thyroid chemical), free	57	43	$38.07	$8.86
81002 Urinalysis, manual test	51	40	$27.00	$3.48
G0444 Annual depression screening, 5 to 15 minutes	47	47	$36.00	$18.45
G0442 Annual alcohol misuse screening, 5 to 15 minutes	46	46	$36.00	$18.45
82043 Urine microalbumin (protein) level	43	33	$12.00	$5.78
82570 Creatinine level to test for kidney function or muscle injury	41	31	$10.00	$5.18
82306 Vitamin d-3 level	31	27	$60.60	$29.60
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$52.50	$14.13
80307 Testing for presence of drug, by chemistry analyzers	13	12	$250.00	$62.14
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$77.67	$19.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	82	58	$32.82	$7.73
83036 Hemoglobin A1C level	66	52	$40.98	$9.67
84481 Thyroid hormone, t3 measurement, free	61	48	$66.39	$16.87
84439 Thyroxine (thyroid chemical), free	61	48	$38.07	$8.98
84443 Blood test, thyroid stimulating hormone (TSH)	61	48	$70.92	$16.73
G0442 Annual alcohol misuse screening, 5 to 15 minutes	54	54	$36.00	$17.38
80061 Blood test, lipids (cholesterol and triglycerides)	53	43	$56.55	$13.31
80076 Liver function blood test panel	51	41	$34.47	$8.12
80048 Blood test, basic group of blood chemicals (calcium, total)	51	41	$35.73	$8.41
81002 Urinalysis, manual test	50	37	$27.00	$3.47
82306 Vitamin d-3 level	35	33	$60.60	$29.60
G0444 Annual depression screening, 5 to 15 minutes	33	33	$36.00	$17.80
82570 Creatinine level to test for kidney function or muscle injury	32	25	$10.00	$5.15
82043 Urine microalbumin (protein) level	31	24	$12.00	$5.75
80307 Testing for presence of drug, by chemistry analyzers	24	20	$250.00	$61.98
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$77.67	$19.27
93000 Routine ekg using at least 12 leads including interpretation and report	18	16	$52.50	$16.98
36415 Insertion of needle into vein for collection of blood sample	14	14	$10.50	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80048 Blood test, basic group of blood chemicals (calcium, total)	62	46	$35.73	$9.21
80076 Liver function blood test panel	59	45	$34.47	$8.90
80061 Blood test, lipids (cholesterol and triglycerides)	55	43	$56.55	$14.58
G0444 Annual depression screening, 5 to 15 minutes	54	54	$30.67	$15.17
83036 Hemoglobin A1C level	54	43	$40.98	$10.57
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	50	43	$32.82	$8.46
G0442 Annual alcohol misuse screening, 5 to 15 minutes	50	50	$36.00	$17.81
84443 Blood test, thyroid stimulating hormone (TSH)	41	35	$70.92	$18.30
84481 Thyroid hormone, t3 measurement, free	41	35	$66.39	$18.44
84439 Thyroxine (thyroid chemical), free	41	35	$38.07	$9.82
93000 Routine ekg using at least 12 leads including interpretation and report	23	21	$52.50	$16.87
82570 Creatinine level to test for kidney function or muscle injury	21	19	$10.00	$5.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	13	$22.50	$16.45
81002 Urinalysis, manual test	21	18	$27.00	$3.41
82043 Urine microalbumin (protein) level	20	19	$12.00	$6.29
80307 Testing for presence of drug, by chemistry analyzers	18	14	$250.00	$63.36
99497 Advance care planning, first 30 minutes	15	15	$100.00	$80.40
82306 Vitamin d-3 level	11	11	$60.60	$32.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99497 Advance care planning, first 30 minutes	94	94	$100.00	$78.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	25	$210.00	$98.25
80076 Liver function blood test panel	45	39	$34.47	$9.89
80048 Blood test, basic group of blood chemicals (calcium, total)	43	38	$35.73	$10.23
80061 Blood test, lipids (cholesterol and triglycerides)	43	39	$56.55	$16.20
82239 Bile acids level, total	41	37	$72.33	$20.72
83036 Hemoglobin A1C level	39	34	$40.98	$11.75
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	39	33	$32.82	$9.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	29	$150.00	$27.05
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$180.00	$59.37
84439 Thyroxine (thyroid chemical), free	26	25	$38.07	$10.91
84443 Blood test, thyroid stimulating hormone (TSH)	26	25	$70.92	$20.33
84481 Thyroid hormone, t3 measurement, free	25	24	$66.39	$20.50
82044 Urine microalbumin (protein) analysis	20	20	$19.32	$6.11
81002 Urinalysis, manual test	19	16	$27.00	$3.41
82540 Creatine measurement	17	17	$18.48	$5.61

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 18678

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License FL ACN943

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Lowell F. Clark Md Pa

212 S Florida St, Bushnell, FL 335136703

Phone: 3527932441

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active October 10, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address October 10, 2017

Registered at 212 S FLORIDA ST, BUSHNELL, FL 335136703 (Tel: 3527932441)

📍

Updated Practice Location October 10, 2017

Registered at 3917 TWILIGHT AVE, ENID, OK 737033614 (Tel: 5804842965)

👤

Provider Name / Credentials Updated October 10, 2017

Recorded as GERARDO SOTO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2017

General Practice (License #18678 in PR)

✅

NPI Profile Active May 16, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2014

Registered at 3917 TWILIGHT AVE, ENID, OK 737033614 (Tel: 5804842965)

📍

Updated Business Mailing Address May 16, 2014

Registered at PO BOX 5263, AGUADILLA, PR 006055263 (Tel: 5804842965)

👤

Provider Name / Credentials Updated May 16, 2014

Recorded as GERARDO SOTO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2014

General Practice (License #18678 in PR)

🟢

Initial NPI Registration & Enumeration May 02, 2011

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: 1902197445

Entity Type:

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

Enumeration Date: May 02, 2011

Last Update: October 10, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

212 S Florida St

Bushnell, FL 335136703

Phone: 3527932441

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.