MS. SEJAL R OTERO PA
NPI 1215024898
Physician Assistant - Medical in Jefferson Valley, NY

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
92.24/100
CMS Quality Rating
3630 HILL BLVD, STE 402, JEFFERSON VALLEY, NY 10535(914) 245-5400(845) 278-4579 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Sejal R Otero Pa NPPES

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

MS. SEJAL R OTERO PA (NPI 1215024898) is an individual medical provider in Jefferson Valley, New York, licensed in New York (006617) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Northern Westchester Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1215024898
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. SEJAL R OTEROCredential: PA
Location Address3630 HILL BLVD, STE 402Jefferson Valley, NY 10535
Mailing Address667 Stoneleigh Ave, Ste A201Carmel, NY 10512 · (845) 278-5223 · Fax (845) 278-4579
Fax(845) 278-4579
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 6, 2006
Last NPPES UpdateMay 15, 2025
NPI 1215024898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in NY · 006617 Licensed in NY · 006617-1
3630 HILL BLVD, Jefferson Valley, NY 10535

Other Names 1

Former Name (1)Ms. Sejal R Lauro Pa

Other Identifiers 3

Other970023444NY · Rr Mc-palmetto Gba
Medicaid02366338NY
Other970023444NY · Rrmc

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

Ms. Sejal R 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 ID5193901742
PECOS Enrollment IDI20110516000385
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 23

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
876 services266 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
583 services242 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
302 services187 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
280 services175 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
273 services172 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
246 services162 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Westchester Hospital

Acute Care Hospitals · Mount Kisco, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330162
Location400 East Main StreetMount Kisco, NY 10549 · Westchester County
Emergency services Birthing friendly

Hudson Valley Hospital Center

Acute Care Hospitals · Cortlandt Manor, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330267
Location1980 Crompond RoadCortlandt Manor, NY 10567 · Westchester County
Emergency services Birthing friendly

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330273
Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam 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.

92.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims32 services$6.20 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 19

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

Podiatrist
3630 HILL BLVD, SUITE 104
JEFFERSON VALLEY, NY 10535
Podiatrist
3630 HILL BLVD, SUITE 104
JEFFERSON VALLEY, NY 10535
Dentist (General Practice)
3630 HILL BLVD, SUITE 306
JEFFERSON VALLEY, NY 10535
Audiologist
3630 HILL BLVD, SUITE 202
JEFFERSON VALLEY, NY 10535
Optometrist
3630 HILL BLVD, SUITE 303
JEFFERSON VALLEY, NY 10535
Podiatrist (Foot Surgery)
3630 HILL BLVD, SUITE 104
JEFFERSON VALLEY, NY 10535
Social Worker (Clinical)
3630 HILL BLVD, SUITE 204A
JEFFERSON VALLEY, NY 10535
Clinic/Center (Dental)
3630 HILL BLVD, SUITE 401
JEFFERSON VALLEY, NY 10535

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 Sejal Otero's NPI number?

The NPI number for Sejal Otero is 1215024898. It was assigned to this individual provider in the NPPES registry on October 6, 2006. The provider is also known as Ms. Sejal R Lauro PA.

Where is Sejal Otero located?

Sejal Otero practices at 3630 Hill Blvd Ste 402, Jefferson Valley, NY 10535. The listed phone number is (914) 245-5400.

What is Sejal Otero's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sejal Otero enrolled in Medicare?

Yes. Sejal 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.

Is Sejal Otero affiliated with any hospitals?

According to CMS data, Sejal Otero is affiliated with Northern Westchester Hospital, Hudson Valley Hospital Center and Putnam Hospital Center.

When was this NPI record last updated?

The NPPES record for Sejal Otero was last updated on May 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.