MICHAEL D OTTNEY D.O.
NPI 1558460477
Family Medicine in Danville, IL

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
707 N LOGAN AVE, DANVILLE, IL 61832(217) 477-4748(217) 444-4966 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jan 18, 2018 (2 updates tracked since 2018).

About Michael D Ottney D.o. NPPES

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

MICHAEL D OTTNEY D.O. (NPI 1558460477) is an individual family medicine provider in Danville, Illinois, licensed in Illinois (036102790) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mc Donough District Hospital, and maintains a secondary practice location in Fairfield.

NPPES Registry Identity

NPI1558460477
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL D OTTNEYCredential: D.O.
Location Address707 N LOGAN AVEDanville, IL 61832-4360
Mailing Address707 N Logan AveDanville, IL 61832-4360 · (217) 477-4748 · Fax (217) 444-4966
Fax(217) 444-4966
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1995
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1558460477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036102790
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036102790 (IL)
707 N LOGAN AVE, Danville, IL 61832

Secondary Practice Location 1

Location 1209 NW 11th StFairfield, IL 62837-1218 · Phone (618) 842-4470 ext. 322 · Fax (618) 842-3437

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

Michael D Ottney D.o. 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 ID2860442852
PECOS Enrollment IDI20050127000441
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 15

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 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.
432 services145 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
86 services48 patients
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.
80 services56 patients
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.
69 services37 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
45 services34 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
41 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number140089
Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County
Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Carthage, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141305
Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61832 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers27 claims58 services$5.28 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$197.67 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 (Family)
707 N LOGAN AVE
DANVILLE, IL 61832
Nurse Practitioner (Family)
707 N LOGAN AVE
DANVILLE, IL 61832
Nurse Practitioner (Family)
707 N LOGAN AVE
DANVILLE, IL 61832
Obstetrics & Gynecology
707 N LOGAN AVE
DANVILLE, IL 61832
Internal Medicine (Gastroenterology)
707 N LOGAN AVE, DANVILLE POLYCLINIC, LTD.
DANVILLE, IL 61832
Physical Therapist
707 N LOGAN AVE
DANVILLE, IL 61832
Nurse Practitioner (Family)
707 N LOGAN AVE
DANVILLE, IL 61832
Physical Therapist
707 N LOGAN AVE
DANVILLE, IL 61832

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 Michael Ottney's NPI number?

The NPI number for Michael Ottney is 1558460477. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Michael Ottney located?

Michael Ottney practices at 707 N Logan Ave, Danville, IL 61832. The listed phone number is (217) 477-4748.

What is Michael Ottney's specialty?

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

Is Michael Ottney enrolled in Medicare?

Yes. Michael Ottney 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 Michael Ottney accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Michael Ottney 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 Michael Ottney affiliated with any hospitals?

According to CMS data, Michael Ottney is affiliated with Mc Donough District Hospital and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Ottney was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.