SUSAN E. OTERO MD
NPI 1205997244
General Practice in Wilmington, DE
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Susan Otero reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glendale, CA 91214
- Reassigned Medicare billing, District of Columbia, Maryland and Virginia enrollments
- 6 clinicians in this Medicare group
Los Angeles, CA 90066
- Reassigned Medicare billing, District of Columbia, Delaware, Maryland and Virginia enrollments
- 8 clinicians in this Medicare group
Sacramento, CA 95816
- Reassigned Medicare billing, District of Columbia, Delaware and Maryland enrollments
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Susan Otero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Otero reassigns Medicare benefits to 3 organizations: Skilled Physicians Group (Glendale, CA), Skilled Facility Health Care Solutions Inc (Los Angeles, CA) and Skilled Biologics, Inc. (Sacramento, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Otero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Otero accept?
Health plans from AmeriHealth Caritas Next and UnitedHealthcare list Susan 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.
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.
# Susan E. Otero, MD · NPI 1205997244
General Practice physician in Wilmington, Delaware. Individual provider, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1205997244 (Entity type: Individual)
- **Enumerated:** December 13, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** C1-0025325 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 251 LITTLE FALLS DR, Wilmington, DE 19808-1674
- **Phone:** (310) 445-5999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Skilled Physicians Group (NPI 1902444623, Glendale, CA); Skilled Facility Health Care Solutions Inc (NPI 1104018423, Los Angeles, CA); Skilled Biologics, Inc. (NPI 1376386763, Sacramento, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 1980
## Record status
- **NPPES last updated:** May 25, 2023
- **Other identifiers:** Medicaid 528271300 (MD); Medicaid 25544400 (DC)
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Source: [NPI Profile](https://npiprofile.com/npi/1205997244) · Data from the CMS NPPES public registry.