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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLIVIA OTTO
NPI 1144924135
Family Medicine in Berlin, WI

Active since March 27, 2023PECOS Enrolled
225 MEMORIAL DR, BERLIN, WI 54923(920) 361-1313 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, Jul 6, 2026, Mar 27, 2023 (3 updates tracked since 2023).

About Olivia Otto NPPES

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

OLIVIA OTTO (NPI 1144924135) is an individual family medicine provider in Berlin, Wisconsin, licensed in Wisconsin (84959-20) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2023).

NPPES Registry Identity

NPI1144924135
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameOLIVIA OTTO
Location Address225 MEMORIAL DRBerlin, WI 54923-1243
Mailing Address225 Memorial DrBerlin, WI 54923-1243 · (920) 361-1313
Phone(920) 361-1313
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2023
Enumeration DateMarch 27, 2023
Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1144924135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 84959-20
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.
225 MEMORIAL DR, Berlin, WI 54923
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Otto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052810579
PECOS Enrollment IDI20260806000520
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 54923 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

DR. COURTNEY DISTERHAFT DPT
Physical Therapist
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-1313
BARRY L ROGERS MD
Surgery
225 MEMORIAL DR, STE 2000
BERLIN, WI 54923
Green Lake County (920) 361-5340
CENTRAL WISCONSIN ANESTHESI
Anesthesiology
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-5538
JESSICA JO TOMASIEWICZ
Nurse Anesthetist, Certified Registered
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-5538
DR. JAMES S HEINZEN M.D.
Emergency Medicine
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-5525
EMILY ANNE RADEMACHER COTA
Occupational Therapy Assistant
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-1313
DANIEL KENNETH LEMBERGER APNP
Nurse Practitioner (Adult Health)
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-1313
TONY D SINGH CRNA
Nurse Anesthetist, Certified Registered
225 MEMORIAL DR
BERLIN, WI 54923
Green Lake County (920) 361-5538

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 Olivia Otto's NPI number?

The NPI number for Olivia Otto is 1144924135. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Olivia Otto located?

Olivia Otto practices at 225 Memorial Dr, Berlin, WI 54923. The listed phone number is (920) 361-1313.

What is Olivia Otto's specialty?

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

Is Olivia Otto enrolled in Medicare?

Yes. Olivia Otto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Otto was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.