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ROLAND GODFREY OTTLEY P.A
NPI 1154475770
Physician Assistant - Surgical in Brooklyn, NY

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
585 SCHENECTADY AVE, BROOKLYN, NY 11203(718) 604-5421(718) 604-5527 Get Directions Write a Review

NPPES record last updated: June 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roland Godfrey Ottley P.a NPPES

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

ROLAND GODFREY OTTLEY P.A (NPI 1154475770) is an individual surgical provider in Brooklyn, New York, licensed in New York (003792) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Brookdale Hospital Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1154475770
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameROLAND GODFREY OTTLEYCredential: P.A
Location Address585 SCHENECTADY AVEBrooklyn, NY 11203-1822
Mailing Address585 Schenectady Ave, Dept. Of SurgeryBrooklyn, NY 11203-1809 · (718) 604-5421 · Fax (718) 604-5527
Phone(718) 604-5421
Fax(718) 604-5527
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJune 10, 2009
✔ NPI 1154475770 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 NY · 003792
585 SCHENECTADY AVE, Brooklyn, NY 11203
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified4F9571NY · Medicare Provider Id

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

Roland Godfrey Ottley P.a 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 ID6507098357
PECOS Enrollment IDI20140410001023
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.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
68 services29 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
60 services49 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
54 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services26 patients

Hospital Affiliations CMS Care Compare

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

Brookdale Hospital Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330233
Location1 Brookdale PlazaBrooklyn, NY 11212 · Kings 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

MARIO GUSTAVE M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5281
HIU SHAN LAI PHARM. D.
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5363
MR. ROBERT BUCK RPH
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5363
DR. MARK JEFFREY DRUKARTZ DDS
Dentist (General Practice)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5000
KINGSBROOK JEWISH MEDICAL CENTER
Clinic/Center
585 SCHENECTADY AVE, MANAGED CARE DEPT
BROOKLYN, NY 11203
Kings County (718) 604-5469
MARIE DENISE COLVERT FNP
Nurse Practitioner (Family)
585 SCHENECTADY AVE, EMERGENCY DEPARTMENT
BROOKLYN, NY 11203
Kings County (718) 604-5000
BENJAMIN WEE PHARM.D.
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 363-6651
ELISABETH MARIE-HELENE LESCOUFLAIR M.D
Psychiatry & Neurology (Psychiatry)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5281

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 Roland Ottley's NPI number?

The NPI number for Roland Ottley is 1154475770. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Roland Ottley located?

Roland Ottley practices at 585 Schenectady Ave, Brooklyn, NY 11203. The listed phone number is (718) 604-5421.

What is Roland Ottley's specialty?

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

Is Roland Ottley enrolled in Medicare?

Yes. Roland Ottley 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.

Is Roland Ottley affiliated with any hospitals?

According to CMS data, Roland Ottley is affiliated with Brookdale Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Roland Ottley was last updated on June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.