DR. FERNANDO JAVIER OTERO MD
NPI 1265496707
Obstetrics & Gynecology in Mcallen, TX

Active since April 13, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA Certified · 2 labs
3401 N 23RD ST, MCALLEN, TX 78501(956) 603-1600(956) 603-1601 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2024, Oct 9, 2023, Jun 7, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Fernando Javier Otero Md NPPES

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

DR. FERNANDO JAVIER OTERO MD (NPI 1265496707) is an individual obstetrics & gynecology provider in Mcallen, Texas, licensed in Texas (L4619) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds 2 active CLIA laboratory certificates, and is affiliated with Doctors Hosptal At Renaissance.

NPPES Registry Identity

NPI1265496707
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. FERNANDO JAVIER OTEROCredential: MD
Location Address3401 N 23RD STMcallen, TX 78501-6001
Mailing Address3401 N 23rd StMcallen, TX 78501-6001 · (956) 603-1600 · Fax (956) 603-1601
Fax(956) 603-1601
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1998
Enumeration DateApril 13, 2006
Last NPPES UpdateJune 17, 20244 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
NPI 1265496707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · L4619
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3401 N 23RD ST, Mcallen, TX 78501

Other Identifiers 2

Medicaid153061004TX
Medicaid153061002TX

Accepted 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

Dr. Fernando Javier 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 ID8123159092
PECOS Enrollment IDI20100622000456
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.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2163662

Fernando J Otero MD PA · Mcallen, TX
Active · expires Jan 7, 2028
CLIA Number45D2163662
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorFernando J. Otero
Laboratory Phone(956) 603-1600
Laboratory LocationFernando J Otero MD PA2501 N 23rd St Ste 20, Mcallen, TX 78501
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 45D2163986

Fernando J Otero MD PA Edinburg · Edinburg, TX
Active · expires Mar 24, 2027
CLIA Number45D2163986
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorFernando Otero
Laboratory Phone(956) 603-1600
Laboratory LocationFernando J Otero MD PA Edinburg1900 W University Drive, Suite 7, Edinburg, TX 78539
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
17 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78501 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Women's Health)
3401 N 23RD ST
MCALLEN, TX 78501
Family Medicine
3401 N 23RD ST
MCALLEN, TX 78501
Obstetrics & Gynecology
3401 N 23RD ST
MCALLEN, TX 78501
Obstetrics & Gynecology
3401 N 23RD ST
MCALLEN, TX 78501
Obstetrics & Gynecology
3401 N 23RD ST
MCALLEN, TX 78501

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 Fernando Otero's NPI number?

The NPI number for Fernando Otero is 1265496707. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Fernando Otero located?

Fernando Otero practices at 3401 N 23rd St, Mcallen, TX 78501. The listed phone number is (956) 603-1600.

What is Fernando Otero's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Fernando Otero enrolled in Medicare?

Yes. Fernando 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.

Does Fernando Otero hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Fernando Otero accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Fernando 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 Fernando Otero affiliated with any hospitals?

According to CMS data, Fernando Otero is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Fernando Otero was last updated on June 17, 2024. 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.