SUSAN E. OTERO MD
NPI 1205997244
General Practice in Wilmington, DE

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
251 LITTLE FALLS DR, WILMINGTON, DE 19808(310) 445-5999 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan E. Otero Md NPPES

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

SUSAN E. OTERO MD (NPI 1205997244) is an individual general practice provider in Wilmington, Delaware, licensed in Delaware (C1-0025325) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of George Washington University School Of Medicine (1980).

NPPES Registry Identity

NPI1205997244
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSUSAN E. OTEROCredential: MD
Location Address251 LITTLE FALLS DRWilmington, DE 19808-1674
Mailing Address3746 Foothill Blvd Ste B140Glendale, CA 91214-1740 · (310) 445-5999
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1980
Enumeration DateDecember 13, 2006
Last NPPES UpdateMay 25, 2023
NPPES CertifiedMay 25, 2023
NPI 1205997244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in DE · C1-0025325
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPlastic SurgeryTaxonomy 208200000X · License MD14270 (DC)
251 LITTLE FALLS DR, Wilmington, DE 19808

Other Names 1

Professional Name (2)Susan Early Otero Md

Secondary Practice Location 1

Location 1106 Irving St NW, POB 420 SouthWashington, DC 20010-2927 · Phone (202) 877-3300 · Fax (202) 877-3303

Other Identifiers 2

Medicaid528271300MD
Medicaid25544400DC

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

Susan E. Otero Md 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 ID6406886498
PECOS Enrollment IDI20190502002278, I20221217000302
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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,703 services378 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
484 services130 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
250 services248 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
129 services42 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
127 services22 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
113 services98 patients

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims740 services$7.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Technician, Health Information
251 LITTLE FALLS DR
WILMINGTON, DE 19808
General Practice
251 LITTLE FALLS DR
WILMINGTON, DE 19808
Optometrist
251 LITTLE FALLS DR
WILMINGTON, DE 19808
Surgery (Vascular Surgery)
251 LITTLE FALLS DR
WILMINGTON, DE 19808
Audiologist-Hearing Aid Fitter
251 LITTLE FALLS DR
WILMINGTON, DE 19808
Psychiatry & Neurology (Psychiatry)
251 LITTLE FALLS DR
WILMINGTON, DE 19808
Technician, Health Information
251 LITTLE FALLS DR
WILMINGTON, DE 19808
Psychiatry & Neurology (Neurology)
251 LITTLE FALLS DR
WILMINGTON, DE 19808

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 Susan Otero's NPI number?

The NPI number for Susan Otero is 1205997244. It was assigned to this individual provider in the NPPES registry on December 13, 2006. The provider is also known as Susan Early Otero MD.

Where is Susan Otero located?

Susan Otero practices at 251 Little Falls Dr, Wilmington, DE 19808. The listed phone number is (310) 445-5999.

What is Susan Otero's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Susan Otero enrolled in Medicare?

Yes. Susan 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.

When was this NPI record last updated?

The NPPES record for Susan Otero was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.