Active NPI
Bret T. Sobota, M.D.
- Otolaryngology Physician
- Hershey, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD062010L
- Practice address
- 500 University Dr
Hershey, PA 17033-2360 - Phone
- (717) 531-6822
- Fax
- (717) 531-4907
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD062010L | PA | Primary |
| Pediatric Otolaryngology Physician | 207YP0228X | MD062010L | PA | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | MD062010L | PA | |
| Otology & Neurotology Physician | 207YX0901X | MD062010L | PA | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MD062010L | PA |
Addresses
Primary practice location
500 University Dr
Hershey, PA 17033-2360
Mailing address
500 University Dr MC Ca410
Hershey, PA 17033-2360
Phone (717) 531-5208
Other practice location 1
508 S Washington St
Gettysburg, PA 17325-2594
Phone (717) 334-8171
Other identifiers 22
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 560617 | Other | PA | HEALTH AMERICA |
| 867633 | Other | PA | MEDICARE GROUP # |
| 25-1716306 | Other | PA | MULTIPLAN/PHCS |
| 7064055 | Other | PA | AETNA NON-HMO |
| 1018454060001 | Medicaid | PA | |
| 1367953 | Other | PA | HIGHMARK BLUESHIELD |
| 25-1716306 | Other | PA | INTERGROUP |
| 25-1716306 | Other | PA | FIRST HEALTH |
| G920-0054 | Other | PA | CAREFIRST |
| 2163302 | Other | PA | MAMSI |
| 25-1716306 | Other | PA | GREATWEST HEALTHCARE |
| P00411722 | Other | PA | RAILROAD MEDICARE |
| 25-1716306 | Other | PA | DEVON |
| 25-1716306 | Other | PA | HEALTHNET/TRICARE |
| 1007307260034 | Other | PA | MEDICAID GROUP # |
| 120420405 | Other | PA | DEPT OF LABOR |
| MD062010L | Other | PA | PA LICENSE |
| 1547181 | Other | PA | GATEWAY |
| 25-1716306 | Other | PA | INFORMED |
| 25-1716306 | Other | PA | SOUTH CENTRAL PREFERRED |
| 3830436 | Other | PA | AETNA HMO |
| 50066685 | Other | PA | CAPITAL BLUECROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Pennsylvania State University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
890 Poplar Church Rd
Camp Hill, PA 17011-2250
Phone (717) 724-6320
Hospital & facility affiliations
- Penn State Health Holy Spirit Medical Center
- Penn State Health St. Joseph
- Milton S Hershey Medical Center
- Penn State Health Hampden Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD062010L | PA | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Otolaryngology | Current | Accepting new patients |
| Aop, Inc. | Past | Accepting new patients | |
| Penn State Health Medical Group, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
890 Poplar Church Rd
Ste 210
Camp Hill, PA 17011
Phone (717) 724-6320
508 S Washington St
Gettysburg, PA 17325
Phone (717) 334-8171
250 Fame Ave
Ste 201
Hanover, PA 17331
Phone (717) 633-9086
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261
500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Diagnostic Radiology Physician
- Harrisburg, PA
- NPI 1457824013
-
- Orthopaedic Surgery Physician
- Reading, PA
- NPI 1942955521
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba UPMC Obstetrics & Gynecology Specialists-Harrisburg
- Obstetrics & Gynecology Physician
- Harrisburg, PA
- NPI 1932532397
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Otolaryngology Physician
- Hershey, PA
- NPI 1205801933
-
- Specialist
- Camp Hill, PA
- NPI 1588749840
-
- Cardiovascular Disease Physician
- Camp Hill, PA
- NPI 1134874779
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Enola, PA
- NPI 1164029658
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camp Hill, PA
- NPI 1659566008
Hospital
-
- General Acute Care Hospital
- Camp Hill, PA
- NPI 1881690212
-
dba Penn State Health St Joseph
- General Acute Care Hospital
- Reading, PA
- NPI 1699734665
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1518051036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR MC CA410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-5208",
"fax_number": "717-531-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-6822",
"fax_number": "717-531-4907"
}
],
"practiceLocations": [
{
"address_1": "508 S Washington St",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252594",
"country_code": "US",
"telephone_number": "717-334-8171",
"fax_number": "717-334-8172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOBOTA",
"first_name": "BRET",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD062010L",
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "PA",
"license": "MD062010L",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "PA",
"license": "MD062010L",
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "PA",
"license": "MD062010L",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "PA",
"license": "MD062010L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "560617",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "867633",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN/PHCS",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-HMO",
"identifier": "7064055",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018454060001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUESHIELD",
"identifier": "1367953",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERGROUP",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "G920-0054",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2163302",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREATWEST HEALTHCARE",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00411722",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEVON",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/TRICARE",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP #",
"identifier": "1007307260034",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "120420405",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "MD062010L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1547181",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INFORMED",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CENTRAL PREFERRED",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3830436",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUECROSS",
"identifier": "50066685",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.