DR. CHRISTIAN A. OTERO M.D.
NPI 1316178502
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Pittsburgh, PA

Q: What is Christian Otero's NPI number?

The NPI number for Christian Otero is 1316178502. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Q: What is Christian Otero's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Christian Otero was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 August 05, 2009PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

5230 CENTRE AVE, PITTSBURGH, PA 15232(412) 623-2121 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2020, Dec 5, 2017 (2 updates tracked since 2017).

On this page

About Dr. Christian A. Otero M.d. NPPES

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

DR. CHRISTIAN A. OTERO M.D. (NPI 1316178502) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD478239) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1316178502

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. CHRISTIAN A. OTEROCredential: M.D.

Location Address5230 CENTRE AVEPittsburgh, PA 15232-1304

Mailing Address5200 Centre Ave Ste 715Pittsburgh, PA 15232-1327 · (412) 647-7555 · Fax (412) 647-2850

Phone(412) 623-2121

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateAugust 5, 2009

Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration

NPPES CertifiedOctober 22, 2024

✔ NPI 1316178502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in PA · MD478239✔ Licensed in TX · S5457✔ Licensed in FL · ME130909

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License TRN10628 (FL), TRN14433 (FL), CREDENTIAL 57.01570 (OH)

5230 CENTRE AVE, Pittsburgh, PA 15232

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Christian A. Otero 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 ID6103184775

PECOS Enrollment IDI20220630002177

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

37 services22 patients

Review by radiologist of image to guide opening of digestive tract 74360

This procedure involves a radiologist examining an image of your digestive tract. The image helps the radiologist determine the best way to open your digestive tract, if necessary. This is done to diagnose or treat certain conditions. It's a common, safe procedure.

33 services28 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

31 services27 patients

Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235

This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.

19 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390028

Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County

Emergency services

Washington Hospital, The

Acute Care Hospitals · Washington, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390042

Location155 Wilson AvenueWashington, PA 15301 · Washington County

Emergency services Birthing friendly

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390114

Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County

Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390164

Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

77.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%54 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

CHARMAINE PYKOSH

Nurse Practitioner

5230 CENTRE AVE, 613 SCAIFE HALL
PITTSBURGH, PA 15232

Allegheny County (412) 623-6013

KAREN RODA

Physical Therapist

5230 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 623-6214

LAWRENCE MARR

Specialist

5230 CENTRE AVE, SUITE 205
PITTSBURGH, PA 15232

Allegheny County (412) 623-2167

BRENT CAIN

Specialist

5230 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 623-2167

DR. ZACHARY ADAM MARCUM PHARM.D.

Pharmacist

5230 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 623-2121

ROSE MARY BARTON CRNA

Nurse Anesthetist, Certified Registered

5230 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 623-2121

SAMANTHA BISS

Nurse Practitioner (Family)

5230 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232

Allegheny County (412) 623-2121

ALYSSA MARIE BRANDSTETTER

Physician Assistant

5230 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 623-2121

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 Christian Otero's NPI number?

The NPI number for Christian Otero is 1316178502. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Christian Otero located?

Christian Otero practices at 5230 Centre Ave, Pittsburgh, PA 15232. The listed phone number is (412) 623-2121.

What is Christian Otero's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Christian Otero enrolled in Medicare?

Yes. Christian 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.

What insurance does Christian Otero accept?

Health plans from Blue Cross and Blue Shield of Texas list Christian 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 Christian Otero affiliated with any hospitals?

According to CMS data, Christian Otero is affiliated with Upmc Mercy, Washington Hospital, The, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Christian Otero was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.