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DR. OTIS GEORGE ALLEN M.D.
NPI 1306847900
Plastic Surgery in Bloomington, IL

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
1215 HOLIDAY DR, BLOOMINGTON, IL 61704(309) 827-3881(309) 661-0234 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Otis George Allen M.d. NPPES

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

DR. OTIS GEORGE ALLEN M.D. (NPI 1306847900) is an individual plastic surgery provider in Bloomington, Illinois, licensed in Illinois (036064804) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1306847900
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. OTIS GEORGE ALLENCredential: M.D.
Location Address1215 HOLIDAY DRBloomington, IL 61704-2214
Mailing Address53 Prenzler DrBloomington, IL 61704-1299 · (309) 287-8049 · Fax (309) 661-0234
Phone(309) 827-3881
Fax(309) 661-0234
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateAugust 3, 2005
Last NPPES UpdateAugust 17, 2016
✔ NPI 1306847900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in IL · 036064804
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1215 HOLIDAY DR, Bloomington, IL 61704
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Other Identifiers 3

Medicaid036064804IL
Medicare PIN691890IL
Medicare UPIND14977IL

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. Otis George Allen M.d. 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 ID840453411
PECOS Enrollment IDI20120517000387
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 5

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 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.
181 services104 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.
82 services64 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.
56 services56 patients
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040
This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.
20 services19 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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

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

OTIS ALLEN MD SC
Plastic Surgery
1215 HOLIDAY DR
BLOOMINGTON, IL 61704
McLean County (309) 827-3881

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 Otis Allen's NPI number?

The NPI number for Otis Allen is 1306847900. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Otis Allen located?

Otis Allen practices at 1215 Holiday Dr, Bloomington, IL 61704. The listed phone number is (309) 827-3881.

What is Otis Allen's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Otis Allen enrolled in Medicare?

Yes. Otis Allen 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 Otis Allen affiliated with any hospitals?

According to CMS data, Otis Allen is affiliated with Carle Bromenn Medical Center.

When was this NPI record last updated?

The NPPES record for Otis Allen was last updated on August 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.