ANDREW T OTTO PA-C
NPI 1093726648
Physician Assistant - Surgical in Greenville, SC

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
200 PATEWOOD DR STE C100, GREENVILLE, SC 29615(864) 454-7422 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2017, Mar 31, 2017 (2 updates tracked since 2017).

About Andrew T Otto Pa-c NPPES

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

ANDREW T OTTO PA-C (NPI 1093726648) is an individual surgical provider in Greenville, South Carolina, licensed in South Carolina (843) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of Southern Illinois University School Of Medicine (2001).

NPPES Registry Identity

NPI1093726648
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameANDREW T OTTOCredential: PA-C
Location Address200 PATEWOOD DR STE C100Greenville, SC 29615-6322
Mailing Address1 Independence Pt, Suite 212Greenville, SC 29615-4545 · (864) 797-6328
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2001
Enumeration DateAugust 10, 2006
Last NPPES UpdateApril 20, 20172 updates tracked since enumeration
NPI 1093726648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in SC · 843
200 PATEWOOD DR STE C100, Greenville, SC 29615

Other Identifiers 3

Medicaid0313PASC
Medicare PINP494111223SC
Medicare UPINP49411SC

Accepted 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

Andrew T Otto Pa-c 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 ID6305896481
PECOS Enrollment IDI20050126000784
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 3

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
45 services45 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
15 services15 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physician Assistant
200 PATEWOOD DR STE C100
GREENVILLE, SC 29615
Orthopaedic Surgery (Foot and Ankle Surgery)
200 PATEWOOD DR STE C100
GREENVILLE, SC 29615
Physician Assistant
200 PATEWOOD DR STE C100
GREENVILLE, SC 29615
Nurse Practitioner (Family)
200 PATEWOOD DR STE C100
GREENVILLE, SC 29615
Family Medicine (Sports Medicine)
200 PATEWOOD DR STE C100
GREENVILLE, SC 29615
Physician Assistant
200 PATEWOOD DR STE C100
GREENVILLE, SC 29615
Physician Assistant
200 PATEWOOD DR STE C100
GREENVILLE, SC 29615
Specialist/Technologist, Other (Orthopedic Assistant)
200 PATEWOOD DR STE C100
GREENVILLE, SC 29615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Otto's NPI number?

The NPI number for Andrew Otto is 1093726648. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Andrew Otto located?

Andrew Otto practices at 200 Patewood Dr Ste C100, Greenville, SC 29615. The listed phone number is (864) 454-7422.

What is Andrew Otto's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Andrew Otto enrolled in Medicare?

Yes. Andrew Otto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Otto accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Andrew Otto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Otto affiliated with any hospitals?

According to CMS data, Andrew Otto is affiliated with Self Regional Healthcare.

When was this NPI record last updated?

The NPPES record for Andrew Otto was last updated on April 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.