AVERY LEIGH SODERBERG (PA-C) – Medical Physician Assistant, NPI 1295492064
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for AVERY LEIGH SODERBERG (PA-C)
6233 Harvard Ln
Highlands Ranch, CO 801303773
Phone: (720) 217-5694
Type: Location
6233 HARVARD LN
HIGHLANDS RANCH, CO 801303773
Phone: (720) 217-5694
Type: Mailing
1400 JACKSON ST
DENVER, CO 802062761
Phone: (303) 388-4461
Fax: (303) 398-1211
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $962.
Total Amount is formed as General ($962) + Research ($0) + Ownership ($0) = $962.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($549).
Total Amount
$962
General + Research + Ownership
Payments
14
Total payment records
General Amount
$962
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-01-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220113002859 | I | Physician Assistant | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 151 | 116 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 119 | 109 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 49 | 46 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 80130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| O T O L A R Y N G O L O G Y | CO | |
| Qualified Audiologist | CO | |
| Otolaryngology, Allergy/Immunology | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| O T O L A R Y N G O L O G Y | CO | |
| O T O L A R Y N G O L O G Y | MA | |
| Nurse Practitioner | CO |
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