MR. PETER C SOO (MD) – Psychiatry Physician, NPI 1457430050

MR. PETER C SOO (MD) is a healthcare provider. based in Spicewood, Texas. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. K0383 (TX). The NPI Number for MR. PETER C SOO (MD) is 1457430050

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. PETER C SOO (MD)
NPI
1457430050
Phone
(512) 264-0189
Address
5400 CYPRESS RANCH BLVD
Enumeration Date
3 November 2006
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
8448248775
Graduation Year
1995 (31 years ago)
PAC ID
9739478199
Group Practice PAC ID
4486794906
Professional Enrollment ID
I20200819003468
Address ID
TX786133065CE3000XLNXX301

Contacts

Secure Messaging
peter.soo.p1@direct.lscctx.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,132 PSYCHIATRY in TX

Provider Addresses for MR. PETER C SOO (MD)

  • 5400 CYPRESS RANCH BLVD

    SPICEWOOD, TX 78669

    Phone: (512) 264-0189

    Type: Mailing

  • 2423 WILLIAMS DR STE 108

    GEORGETOWN, TX 786283269

    Phone: (877) 800-5722

    Type: Location

  • 205 E UNIVERSITY AVE STE 200

    GEORGETOWN, TX 786266821

    Phone: (877) 800-5722

    Type: Mailing

  • 3000 POLAR LN STE 101

    CEDAR PARK, TX 786133065

    Phone: (844) 824-8775

    Fax: (281) 648-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $397.

Total Amount is formed as General ($397) + Research ($0) + Ownership ($0) = $397.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($190).

Total Amount

$397

General + Research + Ownership

Payments

22

Total payment records

General Amount

$397

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

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: 2020-08-19

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
I20200819003468IPsychiatryTXTBD

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 minutes4015$0
90833Psychotherapy with evaluation and management visit, 30 minutes3914$0
90792Psychiatric diagnostic evaluation with medical services1717$0
View full utilization report →

Insurance plans in this area (ZIP 78669)

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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: 4486794906View full group profile
NameSpecialtyState
Clinical Social WorkerTX
P S Y C H I A T R YNY
Clinical Social WorkerTX
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
P S Y C H I A T R YTX
Clinical PsychologistTX
Nurse PractitionerMO
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do payers reference MR. PETER C SOO (MD)?
For MR. PETER C SOO (MD), use NPI 1457430050 as the unique 10-digit identifier.
Is there an active status for MR. PETER C SOO (MD)?
For scheduling context, MR. PETER C SOO (MD) is shown as active in the registry.
What kind of doctor is MR. PETER C SOO (MD)?
MR. PETER C SOO (MD) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MR. PETER C SOO (MD) associated with Spicewood?
Public fields place MR. PETER C SOO (MD) around Spicewood, Texas. Always confirm the exact site before visiting.
Does MR. PETER C SOO (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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