DR. JORGE SOTELO (M.D.) – Internal Medicine Physician, NPI 1225045396
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
829 GASTROENTEROLOGY in MA
Provider Addresses for DR. JORGE SOTELO (M.D.)
3300 Main St
3rd Floor, Suite A & B
Springfield, MA 011071112
Phone: (413) 794-7364
Fax: (413) 794-7482
Type: Location
280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States
2ND FL
SPRINGFIELD, MA 011991001
Phone: (413) 794-5700
Type: Mailing
83 SOUTH ST STE 1
WARE, MA 010821659
Phone: (413) 967-2800
Fax: (413) 967-2806
Type: Location
3300 Main Street, Main Street, North End, Springfield, Hampden County, Massachusetts, 01107, United States
3RD FLOOR, SUITE A & B
SPRINGFIELD, MA 011071112
Phone: (413) 794-7364
Fax: (413) 794-7482
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-05-16
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 |
|---|---|---|---|---|
| I20070516000337 | I | Gastroenterology | MA | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 91 | 88 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 82 | 79 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 51 | 51 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 42 | 42 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 37 | 37 | $0 |
Insurance plans in this area (ZIP 01107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MA | |
| Anesthesiology, Pain Management | MA | |
| Physician Assistant | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA |
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