THOMAS EDWARD OTT M.D.
NPI 1477654820
Family Medicine in Toledo, OH

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
3030 W SYLVANIA AVE, SUITE 101, TOLEDO, OH 43613(419) 473-6615(419) 291-6475 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Edward Ott M.d. NPPES

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

THOMAS EDWARD OTT M.D. (NPI 1477654820) is an individual family medicine provider in Toledo, Ohio, licensed in Ohio (35066600) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1991).

NPPES Registry Identity

NPI1477654820
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS EDWARD OTTCredential: M.D.
Location Address3030 W SYLVANIA AVE, SUITE 101Toledo, OH 43613-4100
Mailing Address17674 Otsego PikeBowling Green, OH 43402-9723 · (419) 350-2430
Fax(419) 291-6475
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1991
Enumeration DateSeptember 26, 2006
Last NPPES UpdateSeptember 28, 2011
NPI 1477654820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35066600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3030 W SYLVANIA AVE, Toledo, OH 43613

Other Identifiers 9

Other000000201372OH · Anthem
Other607055OH · Bchp
Medicaid0101893OH
Medicare PIN0816413OH
Medicare UPINF81767OH
Other01823OH · Paramount
Medicaid104508050MI
Other$$$$$$$$$006OH · Medical Mutual
Other080171614OH · Railroad Medicare

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

Thomas Edward Ott 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 ID4486608213
PECOS Enrollment IDI20050310000543
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 3

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.
138 services52 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.
38 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43613 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims34 services$5.87 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 5

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

Nurse Practitioner (Family)
3030 W SYLVANIA AVE, STE 103
TOLEDO, OH 43613
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3030 W SYLVANIA AVE, SUITE 105
TOLEDO, OH 43613
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3030 W SYLVANIA AVE, SUITE 105
TOLEDO, OH 43613
Nurse Practitioner (Family)
3030 W SYLVANIA AVE, SUITE 102
TOLEDO, OH 43613
Specialist
3030 W SYLVANIA AVE, SUITE 101
TOLEDO, OH 43613

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 Thomas Ott's NPI number?

The NPI number for Thomas Ott is 1477654820. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Thomas Ott located?

Thomas Ott practices at 3030 W Sylvania Ave Suite 101, Toledo, OH 43613. The listed phone number is (419) 473-6615.

What is Thomas Ott's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Ott enrolled in Medicare?

Yes. Thomas Ott 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 Thomas Ott accept?

Health plans from Anthem Blue Cross and Blue Shield and Priority Health list Thomas Ott 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 Thomas Ott affiliated with any hospitals?

According to CMS data, Thomas Ott is affiliated with Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Ott was last updated on September 28, 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.