OTTO DAMASUS UMANA MD
NPI 1366538720
Obstetrics & Gynecology in Whiteville, NC

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
221 JEFFERSON ST, WHITEVILLE, NC 28472(910) 642-3294 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Aug 16, 2022, Aug 4, 2022 and 2 more (5 updates tracked since 2017).

About Otto Damasus Umana Md NPPES

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

OTTO DAMASUS UMANA MD (NPI 1366538720) is an individual obstetrics & gynecology provider in Whiteville, North Carolina, licensed in North Carolina (2005-01739) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Regional Healthcare System, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1366538720
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameOTTO DAMASUS UMANACredential: MD
Location Address221 JEFFERSON STWhiteville, NC 28472-3415
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 15, 20245 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1366538720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 2005-01739
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.
221 JEFFERSON ST, Whiteville, NC 28472

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Otto Damasus Umana 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 ID7517966625
PECOS Enrollment IDI20170623001272
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Otto Umana reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
320 JEFFERSON ST
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 216 clinicians in this Medicare group
Obstetrics & Gynecology
1000 BLYTHE BLVD
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Obhg North Carolina PC
  • 196 clinicians in this Medicare group
Obstetrics & Gynecology
1255 HIGHWAY 54 W
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 67 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Columbus Regional Healthcare System

Acute Care Hospitals · Whiteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340068
Location500 Jefferson StWhiteville, NC 28472 · Columbus County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28472 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
221 JEFFERSON ST
WHITEVILLE, NC 28472
Obstetrics & Gynecology
221 JEFFERSON ST
WHITEVILLE, NC 28472
Obstetrics & Gynecology
221 JEFFERSON ST
WHITEVILLE, NC 28472
Nurse Practitioner (Family)
221 JEFFERSON ST
WHITEVILLE, NC 28472
Optometrist
221 JEFFERSON ST, SUITE A
WHITEVILLE, NC 28472
Obstetrics & Gynecology
221 JEFFERSON ST
WHITEVILLE, NC 28472

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 Otto Umana's NPI number?

The NPI number for Otto Umana is 1366538720. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Otto Umana located?

Otto Umana practices at 221 Jefferson St, Whiteville, NC 28472. The listed phone number is (910) 642-3294.

What is Otto Umana's specialty?

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

Is Otto Umana enrolled in Medicare?

Yes. Otto Umana 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.

Which organizations bill Medicare for Otto Umana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Otto Umana reassigns Medicare benefits to 3 organizations: Columbus Regional Health Network (Whiteville, NC), Obhg North Carolina, P.C. (Charlotte, NC) and Dhp Of Piedmont PC (Fayetteville, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Otto Umana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Otto Umana accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list Otto Umana 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 Otto Umana affiliated with any hospitals?

According to CMS data, Otto Umana is affiliated with Columbus Regional Healthcare System.

When was this NPI record last updated?

The NPPES record for Otto Umana was last updated on July 15, 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.