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DR. OTTO R VELASQUEZ M.D.
NPI 1144302605
Pediatrics in Mcallen, TX

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
5111 N 10TH ST # 281, MCALLEN, TX 78504(877) 543-7247(956) 994-0114 Get Directions Write a Review

NPPES record last updated: November 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Otto R Velasquez M.d. NPPES

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

DR. OTTO R VELASQUEZ M.D. (NPI 1144302605) is an individual pediatrics provider in Mcallen, Texas, licensed in Texas (K2130) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1144302605
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. OTTO R VELASQUEZCredential: M.D.
Location Address5111 N 10TH ST # 281Mcallen, TX 78504-2835
Mailing Address5111 N 10th St # 281Mcallen, TX 78504-2835 · (956) 279-4501 · Fax (956) 994-0114
Phone(877) 543-7247
Fax(956) 994-0114
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 20, 2006
Last NPPES UpdateNovember 1, 2025
NPPES CertifiedNovember 1, 2025
✔ NPI 1144302605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · K2130
Definition
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.
Also ListedHospitalistTaxonomy 208M00000X · License K2130 (TX)
5111 N 10TH ST # 281, Mcallen, TX 78504
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Other Identifiers 2

Medicaid121417306TX
Medicaid167227101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Otto R Velasquez M.d. 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 ID2466507348
PECOS Enrollment IDI20090827000867
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

PEDIATRIC HOSPITAL CARE OF LAREDO
Pediatrics
5111 N 10TH ST # 281
MCALLEN, TX 78504
Hidalgo County (877) 543-7247
OTTO VELASQUEZ MD PHD & ASSOCIATES
Pediatrics
5111 N 10TH ST # 281
MCALLEN, TX 78504
Hidalgo County (877) 543-7247
DR. LUIS ARTURO BATRES M.D.
Pediatrics (Pediatric Gastroenterology)
5111 N 10TH ST # 281
MCALLEN, TX 78504
Hidalgo County (956) 994-6572

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 Otto Velasquez's NPI number?

The NPI number for Otto Velasquez is 1144302605. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Otto Velasquez located?

Otto Velasquez practices at 5111 N 10th St # 281, Mcallen, TX 78504. The listed phone number is (877) 543-7247.

What is Otto Velasquez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Otto Velasquez enrolled in Medicare?

Yes. Otto Velasquez 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 Otto Velasquez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Otto Velasquez 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.

When was this NPI record last updated?

The NPPES record for Otto Velasquez was last updated on November 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.