EDGAR A. SOTOMAYOR (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1639284268
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
897 PATHOLOGY in PA
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Provider Addresses for EDGAR A. SOTOMAYOR (M.D.)
911, East Brady Street, Butler, Butler County, Pennsylvania, 16001, United States
BUTLER, PA 160014646
Phone: (724) 284-4510
Type: Location
Butler Post Office, East Pushmataha Street, Green Acres, Butler, Choctaw County, Alabama, 36904, United States
BUTLER, PA 160031549
Phone: (724) 284-4084
Fax: (724) 284-4144
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2024-03-20 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($58).
Total Amount
$58
General + Research + Ownership
Payments
1
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $58 |
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: 2007-10-25
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 |
|---|---|---|---|---|
| I20071025000406 | I | Pathology | PA | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 482 | 327 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 343 | 42 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 188 | 56 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 163 | 86 | $0 |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 89 | 26 | $0 |
Insurance plans in this area (ZIP 16001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| General Surgery | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| Physician Assistant | PA |
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