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OTIS ALLEN MD SC
NPI 1457629842
Plastic Surgery in Bloomington, IL

Active since December 13, 2011
1215 HOLIDAY DR, BLOOMINGTON, IL 61704(309) 827-3881(309) 661-0234 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Otis Allen Md Sc NPPES

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

OTIS ALLEN MD SC (NPI 1457629842) is a healthcare organization registered as a plastic surgery in Bloomington, Illinois and active in the NPI registry since December 2011. The organization lists Margaret A. Allen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1457629842
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameOTIS ALLEN MD SC
Location Address1215 HOLIDAY DRBloomington, IL 61704-2214
Mailing Address1215 Holiday DrBloomington, IL 61704-2214 · (309) 827-3881 · Fax (309) 661-0234
Phone(309) 827-3881
Fax(309) 661-0234
Organization SubpartNo
Authorized OfficialMargaret A. AllenOffice Manager · (309) 827-3881
Enumeration DateDecember 13, 2011
✔ NPI 1457629842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in IL · 036064804
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1215 HOLIDAY DR, Bloomington, IL 61704
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Other Identifiers 3

Medicare PIN691890IL
Medicaid036064804IL
Medicare UPIND14977IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Otis Allen Md Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Otis Allen MD Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Otis Allen, M.D.
Plastic and Reconstructive Surgery
NPI 1306847900
1215 HOLIDAY DR
Bloomington, IL 61704
(309) 827-3881
✔ PECOS✔ Accepts MedicareSame address

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

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 Otis Allen MD Sc's NPI number?

The NPI number for Otis Allen MD Sc is 1457629842. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Otis Allen MD Sc located?

Otis Allen MD Sc is located at 1215 Holiday Dr, Bloomington, IL 61704. The listed phone number is (309) 827-3881.

What is Otis Allen MD Sc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Otis Allen MD Sc enrolled in Medicare?

Yes. Otis Allen MD Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Otis Allen MD Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Otis Allen MD Sc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Otis Allen MD Sc was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.