DR. AUTUM LYNN DESOTO MD
NPI 1730404872
Pediatrics in Lubbock, TX
NPI Status: Active since April 01, 2010
Contact Information
4102 24TH ST
SUITE 507
LUBBOCK, TX
ZIP 79410
Phone: (806) 725-7750
Fax: (806) 723-7518
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About AUTUM DESOTO
This page provides the complete NPI Profile along with additional information for Autum Desoto, a pediatrician established in Lubbock, Texas with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1730404872 assigned on April 2010. The practitioner's primary taxonomy code is 208000000X with license number P6374 (TX). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1730404872
- Provider Name
- DR. AUTUM LYNN DESOTO MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4102 24TH ST SUITE 507 LUBBOCK, TX 79410
- Location Phone
- (806) 725-7750
- Location Fax
- (806) 723-7518
- Mailing Address
- 3420 22ND PL LUBBOCK, TX 79410
- Mailing Phone
- (806) 725-5844
- Mailing Fax
- (806) 723-7518
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-01-2010
- Last Update Date
- 08-13-2013
- Code Navigator
A pediatrician like Autum Desoto is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- P6374
- License State
- TX
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Autum Desoto is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 79410 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.05
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $24.26
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. AUTUM LYNN DESOTO MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 3 | 0 | 4 | 0 | 4 | 8 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 8 | 0 | 8 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 8 + 0 + 8 + 8 + 1 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1730404872 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700880382 | BARBARA HAIGHT WAY M.D. Individual | Specialist | 4102 24TH ST STE 201 LUBBOCK, TX 79410 (806) 797-1892 |
| 1649256637 | NABIL M ATTAYA MD Individual | Internal Medicine (Cardiovascular Disease) | 4102 24TH ST STE 403 LUBBOCK, TX 79410 (806) 797-8853 |
| 1265403315 | MRS. MICHELLE SUZANNE HOUGHTON RN MSN FNPC Individual | Nurse Practitioner (Family) | 4102 24TH ST SUITE 504 LUBBOCK, TX 79410 (806) 725-6550 |
| 1528035318 | HAL LESLIE GREEN MD Individual | Internal Medicine | 4102 24TH ST SUITE 302 LUBBOCK, TX 79410 (806) 795-6428 |
| 1952364663 | KAY ROWLETT HATTON NP Individual | Nurse Practitioner (Perinatal) | 4102 24TH ST SUITE101 LUBBOCK, TX 79410 (806) 725-5540 |
| 1306809017 | HOLLY L HANSON MD Individual | Pediatrics | 4102 24TH ST STE 506 LUBBOCK, TX 79410 (806) 725-5500 |
| 1841254919 | ISABEL ANN RODRIGUEZ NP Individual | Nurse Practitioner | 4102 24TH ST SUITE 301 LUBBOCK, TX 79410 (806) 725-7980 |
| 1093779167 | YOGESH JESHANKAR PANDYA MD Individual | Pediatrics | 4102 24TH ST SUITE 505 LUBBOCK, TX 79410 (806) 725-8240 |
| 1144284233 | YASODHARA MADHAVA REDDY MD Individual | Pediatrics | 4102 24TH ST SUITE 507 LUBBOCK, TX 79410 (806) 725-7750 |
| 1467417253 | DAVID ALAN GRAY DO Individual | Pediatrics | 4102 24TH ST SUITE 506 LUBBOCK, TX 79410 (806) 725-5500 |
| 1346297694 | SELMA P WILSON MD Individual | Anesthesiology (Pain Medicine) | 4102 24TH ST SUITE 409 LUBBOCK, TX 79410 (806) 796-7246 |
| 1720021405 | KELLI E HOWARD F.N.P. - C Individual | Nurse Practitioner | 4102 24TH ST SUITE 406 LUBBOCK, TX 79410 (806) 725-6461 |
| 1144411711 | DR. AMANDA BETH HATTON M.D. Individual | Obstetrics & Gynecology | 4102 24TH ST SUITE 300 LUBBOCK, TX 79410 (806) 725-6430 |
| 1275721045 | TERRY GAGE, MD Organization | Family Medicine | 4102 24TH ST SUITE 404 LUBBOCK, TX 79410 (806) 793-5683 |
| 1801906656 | DR. JAMES TERRY GAGE MD. Individual | Family Medicine | 4102 24TH ST SUITE 404 LUBBOCK, TX 79410 (806) 793-5683 |
| 1043273790 | KAISER RENI TARAFDAR MD Individual | Internal Medicine | 4102 24TH ST STE 409 LUBBOCK, TX 79410 (806) 725-7015 |
| 1639175052 | STEPHANIE KAY CAPEHART PA-C Individual | Physician Assistant | 4102 24TH ST STE. 403 LUBBOCK, TX 79410 (806) 725-7150 |
| 1407131246 | MRS. VIVIAN VANESSA COX RN FNP-BC Individual | Nurse Practitioner (Family) | 4102 24TH ST STE. 303 LUBBOCK, TX 79410 (806) 725-7625 |
| 1336145838 | DR. DENNIS EFREN DURIEX M.D. Individual | Internal Medicine (Infectious Disease) | 4102 24TH ST SUITE 403 LUBBOCK, TX 79410 (806) 795-8150 |
| 1780788067 | KEVIN CLARK WORLEY MD Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 4102 24TH ST 101 LUBBOCK, TX 79410 (806) 725-5540 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730404872, enumerated in the NPI registry as an "individual" on April 01, 2010
The provider is located at 4102 24th St Suite 507 Lubbock, Tx 79410 and the phone number is (806) 725-7750
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Baylor Scott and White Health Plan and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.05 and an average copayment of 24.26. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 01, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.