DR. OMAR V PEREZ SOTO (MD) – General Practice Physician, NPI 1255354841

DR. OMAR V PEREZ SOTO (MD) is a healthcare provider. based in Davenport, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. ACN800 (FL). The NPI Number for DR. OMAR V PEREZ SOTO (MD) is 1255354841

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. OMAR V PEREZ SOTO (MD)
NPI
1255354841
Phone
(863) 421-9447
Address
111 WEBB DR
Enumeration Date
25 July 2006
Last Update Date
22 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212757500
Graduation Year
2003 (23 years ago)
PAC ID
1850359456
Group Practice PAC ID
7113368911
Professional Enrollment ID
I20170425003106
Address ID
FL327926724WI7151XBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

Provider Addresses for DR. OMAR V PEREZ SOTO (MD)

  • Webb Hill Road, Town of Davenport, Delaware County, New York, 13751, United States

    STE 2

    DAVENPORT, FL 338373962

    Phone: (863) 421-9447

    Type: Mailing

  • 2548 SIMPSON RD

    KISSIMMEE, FL 34744

    Phone: (407) 632-4201

    Fax: (407) 632-4206

    Type: Location

  • PO BOX 4189

    DEERFIELD BEACH, FL 334424189

    Phone: (954) 363-9582

    Fax: (954) 363-9663

    Type: Mailing

  • 27, Calle Hipólito Castro, Paralelo 38, Bahomamey, Barrio Pueblo, San Sebastián, Puerto Rico, 00685, United States

    SAN SEBASTIAN, PR 00685

    Phone: (787) 896-1189

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $443.

Total Amount is formed as General ($443) + Research ($0) + Ownership ($0) = $443.

Last reported payment date: 2024-02-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($242).

Total Amount

$443

General + Research + Ownership

Payments

11

Total payment records

General Amount

$443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041229000580IGeneral PracticePRTBD
I20170425003106IGeneral PracticeFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33837)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113368911View full group profile

Reviews

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Frequently asked questions

Does DR. OMAR V PEREZ SOTO (MD) have a public NPI I can cite?
Public records show DR. OMAR V PEREZ SOTO (MD) under NPI 1255354841.
Is DR. OMAR V PEREZ SOTO (MD)'s NPI status active today?
Active status means DR. OMAR V PEREZ SOTO (MD)'s NPI record is not deactivated in the public file.
What type of care does DR. OMAR V PEREZ SOTO (MD) provide?
DR. OMAR V PEREZ SOTO (MD)'s profile centers on General Practice Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. OMAR V PEREZ SOTO (MD)?
DR. OMAR V PEREZ SOTO (MD) is associated with Davenport, Florida in the same public data insurers reference.
Who maintains DR. OMAR V PEREZ SOTO (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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