What is Theresa Soto's specialty?

Theresa Soto (NPI 1760442966) is a Medicare-billing provider whose primary specialty is Obstetrics & Gynecology in Herndon, VA.

Where does Theresa Soto practice?

Theresa Soto practices in Herndon, VA, based on the location reported in the CMS Medicare provider datasets for NPI 1760442966.

How much does Medicare pay Theresa Soto?

Theresa Soto (NPI 1760442966) received approximately $691K in total Medicare Part B payments, serving 590 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1760442966

Theresa SotoMD

Obstetrics & GynecologyHerndon, VAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,619

Unique beneficiaries

—

Total services

2,580

Distinct HCPCS

Medicare payment

$680K

Peer benchmark

Total Medicare services vs. 647 Obstetrics & Gynecology providers in VA — top quintile (cohort median 138).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

0.0

Cost

61.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$121

Payment records

By payment type

Food and Beverage$121

Top paying entities

Food and Beverage$121

REFERRAL NETWORK

Where Theresa Soto's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 11 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Shekeeb Sufian Vascular Surgery · Seminole, FL	89	539
Laura Kelsey General Surgery · Grand Rapids, MI	83	272
Quest Diagnostics Incorporated Md Clinical Laboratory · Baltimore, MD	76	235
Richard Nguyen Emergency Medicine · Silver Spring, MD	73	623
Michael Banker Thoracic Surgery · Brooklyn, NY	41	210
Sanjiv Lakhanpal Thoracic Surgery · Greenbelt, MD	22	113
Sunrise Medical Laboratories, Inc. Clinical Laboratory · Hicksville, NY	22	48
Jospeh Marogil General Surgery · Grand Rapids, MI	20	50
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	15	51
INOVA HEALTH CARE SERVICES	13	25
INOVA HEALTH CARE SERVICES	11	34

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events