BRANDON JAMES OTTO
NPI 1346483443
Urology in Saratoga Springs, NY

Q: What is Brandon Otto's NPI number?

The NPI number for Brandon Otto is 1346483443. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Q: What is Brandon Otto's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Otto was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 20, 2009PECOS EnrolledAccepts Medicare Assignment

65.44/100

CMS Quality Rating

19 WEST AVE STE 103, SARATOGA SPRINGS, NY 12866(518) 583-0111 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2019, Jun 19, 2019, May 15, 2018 (3 updates tracked since 2018).

On this page

About Brandon James Otto NPPES

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

BRANDON JAMES OTTO (NPI 1346483443) is an individual urology provider in Saratoga Springs, New York, licensed in New York (297545-1) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Js Weill Medical College, Cornell University (2009).

NPPES Registry Identity

NPI1346483443

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameBRANDON JAMES OTTO

Location Address19 WEST AVE STE 103Saratoga Springs, NY 12866-6052

Mailing Address19 West Ave Ste 103Saratoga Springs, NY 12866-6052 · (518) 583-0111

Phone(518) 583-0111

Sole ProprietorNo

Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2009

Enumeration DateApril 20, 2009

Last NPPES UpdateJuly 5, 20193 updates tracked since enumeration

✔ NPI 1346483443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in NY · 297545-1

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

19 WEST AVE STE 103, Saratoga Springs, NY 12866

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Other Identifiers 1

Medicaid015002600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Brandon James Otto 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 ID3274845276

PECOS Enrollment IDI20190606002425

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 15

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.

252 services218 patients

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.

70 services40 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.

69 services69 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.

68 services66 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

61 services48 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

60 services60 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

59 services59 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

47 services40 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

46 services36 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

36 services32 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

33 services31 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

27 services23 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

23 services15 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

18 services12 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

15 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330013

Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County

Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330191

Location100 Park StreetGlens Falls, NY 12801 · Warren County

Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330222

Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County

Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331302

Location75 Park StreetElizabethtown, NY 12932 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12866 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 $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

65.44/100

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

Scored as part of a group practice

Quality

56.37

Improvement Activities

Cost

64.8

Other Providers at the Same Location NPPES 2

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

BRITTANY TOTH FNP

Nurse Practitioner (Family)

19 WEST AVE STE 103
SARATOGA SPRINGS, NY 12866

Saratoga County (518) 583-0111

CHARLES I SCHWARTZ MD

Urology

19 WEST AVE STE 103
SARATOGA SPRINGS, NY 12866

Saratoga County (518) 583-0111

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 Brandon Otto's NPI number?

The NPI number for Brandon Otto is 1346483443. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is Brandon Otto located?

Brandon Otto practices at 19 West Ave Ste 103, Saratoga Springs, NY 12866. The listed phone number is (518) 583-0111.

What is Brandon Otto's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Brandon Otto enrolled in Medicare?

Yes. Brandon Otto 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 Brandon Otto accept?

Health plans from AvMed list Brandon Otto 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 Brandon Otto affiliated with any hospitals?

According to CMS data, Brandon Otto is affiliated with Albany Medical Center Hospital, Glens Falls Hospital, Saratoga Hospital and Elizabethtown Community Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Otto was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.