Theresa M. Soto, MD
Obstetrics & Gynecology Physician · Herndon, VA
Theresa M. Soto, MD is an obstetrics & gynecology physician with a practice address in Herndon, Virginia, and NPI 1760442966, issued on Mar 23, 2006. Check the license (Virginia 0101221215, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Theresa M. Soto
- Credential
- MD
- Primary taxonomy
- Obstetrics & Gynecology Physician 207V00000X
- License number
- 0101221215 VA
Self-reported in NPPES; status is on the state search - Practice location
- 150 Elden St, Herndon, VA 20170
- Phone
- (855) 830-8346
- Enumerated
- Mar 23, 2006
- Record last updated
- Apr 26, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (240) 473-4321
- Medicare enrollment
- Enrolled (PECOS I20140205000383); accepts Medicare assignment
- Medical or professional school
- State University Of New York At Buffalo School Of Medicine, 1992
- Entity
- Type 1 · individual
8 nearest obstetrics & gynecology physician records → All 1,174 in Virginia → Look up another NPI →
Also registered at 150 Elden St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jennifer Baker, LMTMassage Therapist1033073614
- Jennifer Blanding, PA-CPhysician Assistant1497992366
- Aruna Borkar, MSPTSpecialist1114903846
- Lance ChevalierPhysical Therapist1376659904
- Cynthia Cutright, DPTPhysical Therapist1306822051
- Purvi Desai, PTPhysical Therapist1619144094
Verify Theresa M. Soto in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101221215Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
88% fewer Medicare Part D claims than the average obstetrics & gynecology physician in 2024
20 Medicare Part D claims for 12 beneficiaries, against an average of 165 among the 28,733 providers of this specialty who prescribed in Part D. Brand-name drugs were 55% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 98.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $121.47
7 payments; by number, the most common kind was food and beverage; the largest payer was CashFlow Solutions, LLC. The 21,429 providers of this specialty with any payment received $1,030.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Center For Vein Restoration MD LLCFredericksburg, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Theresa M. Soto among 1,174 obstetrics & gynecology physician records in Virginia
Theresa M. Soto, MD is one of 1,174 obstetrics & gynecology physician records with a practice address in Virginia. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 51% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated1992 · median 2005 among the 701 with a school on file
- Record last updated2016 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207V00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Obstetrics & Gynecology Physician providers in Virginia
There are 1,174 obstetrics & gynecology physician records in Virginia.
All 1,174 in Virginia → Every provider in Herndon → Obstetrics & Gynecology Physician nationwide →
The 8 obstetrics & gynecology physician records with the nearest ZIP codes
- Carolyn Garcia, M.D.Herndon, VA 201701871571349
- Ralph Hale, M.D.Oak Hill, VA 201711598986333
- Emily Marko, M.D.Oak Hill, VA 201711659526382
- Chari Smith, M.D.Haymarket, VA 201691265417240
- Deborah Bowers, MDDulles, VA 201661871645317
- Scott Caldwell, M.D.Sterling, VA 201661922362128
- Felicia Donald, M.D.Sterling, VA 201661538129127
- Shaukat Jahan, M.D. F.A.C.O.G.Sterling, VA 201661710123005
Common questions
What is Theresa M. Soto, MD's NPI number?
Theresa M. Soto, MD's National Provider Identifier (NPI) is 1760442966, issued on Mar 23, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Theresa M. Soto, MD located?
The NPPES record lists a practice address at 150 Elden St, Herndon, VA, 20170. Phone: (855) 830-8346. Providers update this record themselves, so call before visiting.
How can I verify Theresa M. Soto, MD's license?
NPPES lists Virginia license number 0101221215, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Theresa M. Soto, MD prescribe under Medicare Part D?
In 2024, Theresa M. Soto, MD had 20 Medicare Part D claims for 12 beneficiaries; the average among obstetrics & gynecology physician prescribers was 165. Part D covers Medicare prescriptions only.
What is Theresa M. Soto, MD's MIPS final score?
The 2023 MIPS final score is 98.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.