JAVIER OTERO MD
NPI 1386937498
Surgery in Charlotte, NC

Active since May 23, 2011PECOS EnrolledAccepts Medicare Assignment
1025 MOREHEAD MEDICAL DR, STE 300, CHARLOTTE, NC 28204(704) 355-1813 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2020, Feb 10, 2020, Jan 30, 2020 and 27 more (30 updates tracked since 2018).

About Javier Otero Md NPPES

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

JAVIER OTERO MD (NPI 1386937498) is an individual surgery provider in Charlotte, North Carolina, licensed in North Carolina (2017-00733) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386937498
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAVIER OTEROCredential: MD
Location Address1025 MOREHEAD MEDICAL DR, STE 300Charlotte, NC 28204-2963
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2011
Enumeration DateMay 23, 2011
Last NPPES UpdateFebruary 17, 202030 updates tracked since enumeration
NPI 1386937498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NC · 2017-00733
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1025 MOREHEAD MEDICAL DR, Charlotte, NC 28204

Secondary Practice Locations 2

Location 11025 Morehead Medical Dr, Suite 600Charlotte, NC 28204-2963 · Phone (704) 355-8816
Location 21350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255

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

Javier Otero 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 ID1759394653
PECOS Enrollment IDI20200109002996
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 12

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.
83 services41 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.
62 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 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.
33 services32 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services23 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420009
Location298 Memorial DrSeneca, SC 29672 · Oconee County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

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.

Orthopaedic Surgery
1025 MOREHEAD MEDICAL DR, STE 300
CHARLOTTE, NC 28204
Obstetrics & Gynecology
1025 MOREHEAD MEDICAL DR, STE 450
CHARLOTTE, NC 28204
Surgery
1025 MOREHEAD MEDICAL DR, STE 300
CHARLOTTE, NC 28204
Obstetrics & Gynecology
1025 MOREHEAD MEDICAL DR, STE 400
CHARLOTTE, NC 28204
Surgery
1025 MOREHEAD MEDICAL DR, SUITE 600
CHARLOTTE, NC 28204
Advanced Practice Midwife
1025 MOREHEAD MEDICAL DR, STE 400
CHARLOTTE, NC 28204
Internal Medicine (Gastroenterology)
1025 MOREHEAD MEDICAL DR, 3RD FLOOR
CHARLOTTE, NC 28204
Surgery
1025 MOREHEAD MEDICAL DR, STE 300
CHARLOTTE, NC 28204

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 Javier Otero's NPI number?

The NPI number for Javier Otero is 1386937498. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Where is Javier Otero located?

Javier Otero practices at 1025 Morehead Medical Dr Ste 300, Charlotte, NC 28204. The listed phone number is (704) 355-1813.

What is Javier Otero's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Javier Otero enrolled in Medicare?

Yes. Javier 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 Javier Otero accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Javier 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 Javier Otero affiliated with any hospitals?

According to CMS data, Javier Otero is affiliated with Prisma Health Oconee Memorial Hospital and Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Javier Otero was last updated on February 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.