JOHN-PAUL SOBERANO (MD) – Pulmonary Disease Physician, NPI 1760708747

JOHN-PAUL SOBERANO (MD) is a healthcare provider. based in Rolla, Missouri. specializing in PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 2016011277 (MO). The NPI Number for JOHN-PAUL SOBERANO (MD) is 1760708747

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
JOHN-PAUL SOBERANO (MD)
NPI
1760708747
Phone
(573) 458-8899
Address
1000 W 10th St
Enumeration Date
15 April 2010
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733649000
Graduation Year
2010 (16 years ago)
PAC ID
4486956018
Group Practice PAC ID
1557454063
Professional Enrollment ID
I20160729001846
Address ID
MO654012905RO1050XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

412 PULMONARY DISEASE in MO

Provider Addresses for JOHN-PAUL SOBERANO (MD)

  • 1000 W 10th St

    Rolla, MO 654012905

    Phone: (573) 458-8899

    Fax: (573) 341-5611

    Type: Location

  • 1050, West 10th Street, Rolla, Phelps County, Missouri, 65409, United States

    ROLLA, MO 654012905

    Phone: (573) 364-9000

    Fax: (573) 426-2108

    Type: Mailing

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: 2016-07-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160729001846IPulmonary DiseaseMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes829555$0
94060Test to measure expiratory airflow and volume changes before and after medication administration149149$0
94729Test to examine how well the lungs exchange gases147147$0
94726Test to determine lung volumes using sensors141141$0
99204New patient office or other outpatient visit, 45-59 minutes6969$0
View full utilization report →

Insurance plans in this area (ZIP 65401)

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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: 1557454063View full group profile
NameSpecialtyState
Physician AssistantMO
-MO
-MO
Radiation OncologyMO
Otolaryngology, Plastic And Reconstructive Surgery, Allergy/ImmunologyMO
-MO
Nephrology, Internal Medicine, HospitalistMO
-MO
Nurse PractitionerMO
Certified Nurse Midwife (Cnm)MO

Reviews

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Frequently asked questions

What is JOHN-PAUL SOBERANO (MD)'s NPI number?
JOHN-PAUL SOBERANO (MD)'s NPI is 1760708747 — the number used across U.S. healthcare to identify this provider.
Is JOHN-PAUL SOBERANO (MD) still an active registrant?
JOHN-PAUL SOBERANO (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for JOHN-PAUL SOBERANO (MD)?
At a glance, JOHN-PAUL SOBERANO (MD) is tied to Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is JOHN-PAUL SOBERANO (MD) associated with Rolla?
Public fields place JOHN-PAUL SOBERANO (MD) around Rolla, Missouri. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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