Doctor profile · Federal record
Dr. Annisa Soeboer, PA-C
Physician Assistant · Fremont, CA
- NPI 1053985929
- Accepts Medicare
- MIPS 87.1 / 100 · 2023
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2000 Mowry Ave
Fremont, CA 945381716
(707) 771-5687
Credentials & registration
- NPI registered
- May 2021 — 5 yrs on file
- Profile last updated
- March 7, 2023
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053985929. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,675
Distinct HCPCS
10
Medicare allowed
$82,534
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
73562 |
X-ray of knee, 3 views | 310 | 247 | $9 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 256 | 243 | $63 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 231 | 224 | $93 | |
73501 |
X-ray of hip, 1 view | 132 | 126 | $9 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 109 | 107 | $91 | |
73560 |
X-ray of knee, 1-2 views | 86 | 81 | $8 | |
77073 |
X-ray for bone length assessment | 80 | 80 | $13 | |
99441 |
Telephone medical discussion with physician, 5-10 minutes | 67 | 67 | $33 | |
G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic | 64 | 64 | $12 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 59 | 59 | $128 |
In context: peer comparison
Among 10 peers in Fremont Physician Assistant, average services per provider: 72. This provider delivers 23× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
586
Patients
496
Total drug cost
$6,254
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 142 | 108 | $382 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 142 | 122 | $2,572 |
| Ondansetron Hcl | Generic | 112 | 109 | $766 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 49 | 40 | $722 |
| Cephalexin | Generic | 46 | 45 | $295 |
| Tramadol Hcl | Generic | 39 | 33 | $278 |
| Clindamycin Hcl | Generic | 25 | 22 | $161 |
| Celecoxib | Generic | 18 | 17 | $1,039 |
| Meloxicam | Generic | 13 | 0 | $39 |
Frequently asked questions
What is Dr. Annisa Soeboer's medical specialty?
Dr. Annisa Soeboer practices Physician Assistant in Fremont, CA.
Where does Dr. Annisa Soeboer practice?
Dr. Annisa Soeboer practices at 2000 Mowry Ave, Fremont, CA 945381716. Office phone: 7077715687.
What is Dr. Annisa Soeboer's NPI?
Dr. Annisa Soeboer's National Provider Identifier (NPI) is 1053985929, issued by NPPES.
Does Dr. Annisa Soeboer accept Medicare assignment?
Yes. Dr. Annisa Soeboer accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Annisa Soeboer commonly perform?
Top Medicare-reported procedures in 2023: X-ray of knee, 3 views (HCPCS 73562); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.