MARK A OTTO M.D.
NPI 1386794386
Hospitalist in Council Bluffs, IA

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
800 MERCY DR, COUNCIL BLUFFS, IA 51503(855) 524-4001(712) 325-2499 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark A Otto M.d. NPPES

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

MARK A OTTO M.D. (NPI 1386794386) is an individual hospitalist provider in Council Bluffs, Iowa, licensed in Iowa (MD-31413) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1995).

NPPES Registry Identity

NPI1386794386
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMARK A OTTOCredential: M.D.
Location Address800 MERCY DRCouncil Bluffs, IA 51503-3128
Mailing Address800 Mercy DrCouncil Bluffs, IA 51503-3128 · (855) 524-4001 · Fax (712) 325-2499
Fax(712) 325-2499
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1995
Enumeration DateJanuary 11, 2007
Last NPPES UpdateApril 10, 2017
NPI 1386794386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in IA · MD-31413 Licensed in NE · 26689
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 26689 (NE), 31413 (IA)
800 MERCY DR, Council Bluffs, IA 51503

Accepted 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

Mark A Otto 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 ID6709894751
PECOS Enrollment IDI20060403000098
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers23 claims23 services$17.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims25 services$84.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Physician Assistant
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Hospitalist
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Emergency Medicine
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Nurse Practitioner (Acute Care)
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Nurse Practitioner
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Obstetrics & Gynecology
800 MERCY DR, SUITE 210
COUNCIL BLUFFS, IA 51503
Nurse Practitioner (Adult Health)
800 MERCY DR
COUNCIL BLUFFS, IA 51503

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 Mark Otto's NPI number?

The NPI number for Mark Otto is 1386794386. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Mark Otto located?

Mark Otto practices at 800 Mercy Dr, Council Bluffs, IA 51503. The listed phone number is (855) 524-4001.

What is Mark Otto's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mark Otto enrolled in Medicare?

Yes. Mark 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 Mark Otto accept?

Health plans from Medica and Oscar Insurance Company list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Otto was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.