DR. KIMBERLY OTTONI
NPI 1053769869
Family Medicine in Plymouth, MI

Q: What is Kimberly Ottoni's NPI number?

The NPI number for Kimberly Ottoni is 1053769869. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Q: What is Kimberly Ottoni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Ottoni was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 02, 2016PECOS EnrolledAccepts Medicare Assignment

14300 N BECK RD, PLYMOUTH, MI 48170(734) 453-5600 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2023, Dec 7, 2021, Oct 20, 2020 (3 updates tracked since 2020).

On this page

About Dr. Kimberly Ottoni NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY OTTONI (NPI 1053769869) is an individual family medicine provider in Plymouth, Michigan, licensed in Michigan (4301116888) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053769869

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KIMBERLY OTTONI

Location Address14300 N BECK RDPlymouth, MI 48170-3377

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (800) 653-6568

Phone(734) 453-5600

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 2, 2016

Last NPPES UpdateApril 12, 20233 updates tracked since enumeration

NPPES CertifiedApril 12, 2023

✔ NPI 1053769869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · 4301116888✔ Licensed in IL · 036158201

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

14300 N BECK RD, Plymouth, MI 48170

Open in Google Maps ↗

Secondary Practice Locations 2

Location 117000 Kercheval Ave Ste 205Grosse Pointe, MI 48230-1570 · Phone (313) 640-2424 · Fax (313) 640-2415

Location 2676 N Saint Clair St Ste 415Chicago, IL 60611-3133 · Phone (312) 926-3627 · Fax (312) 694-4102

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kimberly Ottoni is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810275245

PECOS Enrollment IDI20190718000258

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

66 services52 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

44 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230302

Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48170 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA J FOX CPHT

Pharmacy Technician

14300 N BECK RD, PHARMACY DEPARTMENT
PLYMOUTH, MI 48170

Wayne County (734) 354-5950

DORENE DUDEK PT

Physical Therapist