TODD M OTSTOT PA-C
NPI 1275523276
Physician Assistant - Medical in Caldwell, ID

Q: What is Todd Otstot's NPI number?

The NPI number for Todd Otstot is 1275523276. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Q: What is Todd Otstot's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Todd Otstot was last updated on October 6, 2022. 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.

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment

206 E ELM ST, CALDWELL, ID 83605(208) 459-4511 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2022, Sep 21, 2022 (2 updates tracked since 2022).

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About Todd M Otstot Pa-c NPPES

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

TODD M OTSTOT PA-C (NPI 1275523276) is an individual medical provider in Caldwell, Idaho, licensed in Idaho (PA-356) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Nampa.

NPPES Registry Identity

NPI1275523276

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameTODD M OTSTOTCredential: PA-C

Location Address206 E ELM STCaldwell, ID 83605-4815

Mailing Address206 E Elm StCaldwell, ID 83605-4815 · (208) 459-4511 · Fax (208) 459-6602

Phone(208) 459-4511

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateOctober 21, 2005

Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration

NPPES CertifiedOctober 6, 2022

✔ NPI 1275523276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · PA-356

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA-356 (ID), PA356 (ID)

206 E ELM ST, Caldwell, ID 83605

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Secondary Practice Location 1

Location 14424 E Flamingo Ave, Suite 110Nampa, ID 83687 · Phone (208) 288-4700 · Fax (208) 288-4720

Other Identifiers 6

Other000010035293ID · Blue Shield

Other970022197ID · Railroad Medicare

Medicaid806153700ID

Other000010035292ID · Blue Shield

OtherPAA02ID · Blue Cross

OtherPAAE9ID · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Todd M Otstot Pa-c 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 ID345130159

PECOS Enrollment IDI20040316001409

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 11

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325

Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.

1,104 services16 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

376 services52 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

174 services121 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

86 services59 patients

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.

46 services40 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

41 services34 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

West Valley Medical Center

Acute Care Hospitals · Caldwell, ID

5/5 CMS rating

OwnershipProprietary

CMS Certification Number130014

Location1717 Arlington StreetCaldwell, ID 83605 · Canyon County

Emergency services

Treasure Valley Hospital

Acute Care Hospitals · Boise, ID

OwnershipProprietary

CMS Certification Number130063

Location8800 West Emerald StreetBoise, ID 83704 · Ada County

Other Providers at the Same Location NPPES 13

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

HODAKA PAUL ABE PA

Physician Assistant