1. Home
  2. Directory
  3. Texas
  4. West Lake Hills
  5. Physician Assistant
  6. NPI Profile

MR. CARMELO C OTERO PA
NPI 1194716647
Physician Assistant in West Lake Hills, TX

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
5656 BEE CAVE RD STE M300, WEST LAKE HILLS, TX 78746(512) 807-3270(855) 697-2500 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2021, Nov 20, 2018 (2 updates tracked since 2018).

About Mr. Carmelo C Otero Pa NPPES

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

MR. CARMELO C OTERO PA (NPI 1194716647) is an individual physician assistant in West Lake Hills, Texas, licensed in Texas (PA03768) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center -taylor, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1194716647
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CARMELO C OTEROCredential: PA
Location Address5656 BEE CAVE RD STE M300West Lake Hills, TX 78746-5814
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-8800
Phone(512) 807-3270
Fax(855) 697-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 3, 2005
Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
✔ NPI 1194716647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA03768
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5656 BEE CAVE RD STE M300, West Lake Hills, TX 78746
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Mr. Carmelo C Otero Pa 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 ID8921097692
PECOS Enrollment IDI20050810000600
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
108 services107 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center -Taylor

Critical Access Hospitals · Taylor, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451374
Location305 MallardTaylor, TX 76574 · Williamson County
Emergency services

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78746 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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 Carmelo Otero's NPI number?

The NPI number for Carmelo Otero is 1194716647. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Carmelo Otero located?

Carmelo Otero practices at 5656 Bee Cave Rd Ste M300, West Lake Hills, TX 78746. The listed phone number is (512) 807-3270.

What is Carmelo Otero's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carmelo Otero enrolled in Medicare?

Yes. Carmelo Otero 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 Carmelo Otero accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Carmelo Otero 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.

Is Carmelo Otero affiliated with any hospitals?

According to CMS data, Carmelo Otero is affiliated with Baylor Scott & White Medical Center -Taylor and Baylor Scott & White Medical Center - Round Rock.

When was this NPI record last updated?

The NPPES record for Carmelo Otero was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.