DR. SCOTT WILLIAM OTTERSON DMD
NPI 1164979464
Dentist - Endodontics in Ft Shafter, HI

Q: What is Scott Otterson's NPI number?

The NPI number for Scott Otterson is 1164979464. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Q: What is Scott Otterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Scott Otterson was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 02, 2016PECOS Enrolled

146 CLARK RD, BLDG 339, USA DENTAL HEALTH ACTIVITY, FT SHAFTER, HI 96858(808) 438-3990 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, May 9, 2022, Jul 26, 2019 and 1 more (4 updates tracked since 2016).

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About Dr. Scott William Otterson Dmd NPPES

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

DR. SCOTT WILLIAM OTTERSON DMD (NPI 1164979464) is an individual endodontics provider in Ft Shafter, Hawaii, licensed in Utah (12667815-9922) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164979464

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. SCOTT WILLIAM OTTERSONCredential: DMD

Location Address146 CLARK RD, BLDG 339, USA DENTAL HEALTH ACTIVITYFt Shafter, HI 96858

Mailing Address6479 W Carrick WayHighland, UT 84003-5526 · (610) 202-5735

Phone(808) 438-3990

Sole ProprietorNo

Enumeration DateSeptember 2, 2016

Last NPPES UpdateOctober 16, 20234 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1164979464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

Licenses✔ Licensed in UT · 12667815-9922✔ Licensed in UT · 12667815-8903✔ Licensed in ID · D-5561-EN

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

146 CLARK RD, BLDG 339, Ft Shafter, HI 96858

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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 (PECOS)

Dr. Scott William Otterson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 96858 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Scott Otterson's NPI number?

The NPI number for Scott Otterson is 1164979464. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is Scott Otterson located?

Scott Otterson practices at 146 Clark Rd, Bldg 339 Usa Dental Health Activity, Ft Shafter, HI 96858. The listed phone number is (808) 438-3990.

What is Scott Otterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Scott Otterson enrolled in Medicare?

Yes. Scott Otterson is registered in the Medicare PECOS enrollment system.

What insurance does Scott Otterson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Scott Otterson 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 Scott Otterson was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.