MATTHEW SOBERANO (D.O.) – Allergy & Immunology Physician, NPI 1386183218
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
274 ALLERGY/IMMUNOLOGY in FL
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Provider Addresses for MATTHEW SOBERANO (D.O.)
10013, Vineyard Lake Road East, Jacksonville, Duval County, Florida, 32256, United States
JACKSONVILLE, FL 322561485
Phone: (904) 923-3135
Type: Mailing
Larkin General Hospital, 7031, Southwest 62nd Avenue, South Miami, Miami-Dade County, Florida, 33143, United States
SOUTH MIAMI, FL 331434701
Phone: (904) 923-3135
Type: Location
690 DALLAS HWY STE 101
VILLA RICA, GA 301801262
Phone: (770) 459-0620
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 79 Open Payments records for all available years, with a total value of $1,915.
Total Amount is formed as General ($1,915) + Research ($0) + Ownership ($0) = $1,915.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GENZYME CORPORATION ($817).
Total Amount
$1,915
General + Research + Ownership
Payments
79
Total payment records
General Amount
$1,915
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
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: 2022-07-20
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 |
|---|---|---|---|---|
| I20220720003037 | I | Allergy/Immunology | GA | 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 |
|---|---|---|---|---|
| J2357 | Injection, omalizumab, 5 mg | 4,051 | 11 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,676 | 81 | $0 |
| 95117 | Professional service for multiple injections of allergen | 564 | 132 | $0 |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 154 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 81 | $0 |
Insurance plans in this area (ZIP 32256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Allergy/Immunology | GA | |
| A L L E R G Y/ I M M U N O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Allergy/Immunology, Pediatric Medicine | GA | |
| - | GA |
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