DR. BRENT L SODER (M.D.) – Surgery Physician, NPI 1164782728

DR. BRENT L SODER (M.D.) is a healthcare provider. based in Roseburg, Oregon. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD187291 (OR). The NPI Number for DR. BRENT L SODER (M.D.) is 1164782728

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT L SODER (M.D.)
NPI
1164782728
Phone
(541) 677-3600
Address
2801 NW MERCY DR STE 330
Enumeration Date
16 May 2012
Last Update Date
2 May 2018

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
9234375866
Group Practice PAC ID
6103982962
Professional Enrollment ID
I20180702002585
Address ID
OR974712348RO2801XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

859 GENERAL SURGERY in TN

Provider Addresses for DR. BRENT L SODER (M.D.)

  • 2801 NW MERCY DR STE 330

    ROSEBURG, OR 974712348

    Phone: (541) 677-3600

    Fax: (541) 677-3601

    Type: Mailing

  • 960 E 3rd St Ste 104

    Chattanooga, TN 374032138

    Phone: (423) 778-7695

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Medtronic, Inc. ($22).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

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: 2018-07-02

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
I20180702002585IGeneral SurgeryORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4135$0
99214Established patient office or other outpatient visit, 30-39 minutes3730$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 97471)

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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: 6103982962View full group profile
NameSpecialtyState
P O D I A T R YOR
Cardiovascular Disease (Cardiology)WA
-OR
G A S T R O E N T E R O L O G YOR
Nephrology, Internal MedicineWA
Orthopedic SurgeryCA
General SurgeryOR
Cardiovascular Disease (Cardiology)OR
U R O L O G YOR
Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Interventional CardiologyNH

Reviews

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Frequently asked questions

Does DR. BRENT L SODER (M.D.) have a public NPI I can cite?
Public records show DR. BRENT L SODER (M.D.) under NPI 1164782728.
Should I treat DR. BRENT L SODER (M.D.) as an active provider?
Patients and plans typically see DR. BRENT L SODER (M.D.) as active in the national extract.
What services align with DR. BRENT L SODER (M.D.)'s listing?
DR. BRENT L SODER (M.D.)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. BRENT L SODER (M.D.) tied to Roseburg, Oregon?
If you are local to Roseburg, Oregon, DR. BRENT L SODER (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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