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: October 18, 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, maintains a secondary practice location in Mcallen, 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
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

Secondary Practice Location 1

Location 11400 E Ridge Rd Ste 8McAllen, TX 78503-1536 · Phone (956) 618-0404

Other Identifiers 2

Medicaid121417306TX
Medicaid167227101TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Otto Velasquez reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1400 W TRENTON RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
Plastic Surgery
3533 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 510 clinicians in this Medicare group
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
Neonatal-Perinatal Medicine
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 432 clinicians in this Medicare group
Pediatrics
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 424 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pediatrics
5111 N 10TH ST # 281
MCALLEN, TX 78504
Pediatrics
5111 N 10TH ST # 281
MCALLEN, TX 78504
Pediatrics (Pediatric Gastroenterology)
5111 N 10TH ST # 281
MCALLEN, TX 78504

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.

Which organizations bill Medicare for Otto Velasquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Otto Velasquez reassigns Medicare benefits to 5 organizations: Mcallen Hospitalist Group, PLLC (Edinburg, TX), Children's Physician Services Of South Texas (Corpus Christi, TX), Texas Children's Physician Group (Houston, TX), Magella Medical Associates Billing, Inc. (Round Rock, TX) and Dallas Physician Medical Services For Children Inc (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Otto Velasquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 11 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.