CHARLTON GRAHAM OTTE
NPI 1629655881
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3040 Get Directions Write a Review

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

Record update history: Jan 26, 2026, Oct 5, 2023, Mar 25, 2021 (3 updates tracked since 2021).

About Charlton Graham Otte NPPES

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

CHARLTON GRAHAM OTTE (NPI 1629655881) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD488691) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2021).

NPPES Registry Identity

NPI1629655881
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameCHARLTON GRAHAM OTTE
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateJanuary 26, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1629655881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in PA · MD488691 Licensed in IL · 1629655881
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3401 N BROAD ST, Philadelphia, PA 19140

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

Charlton Graham Otte 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 ID4486002250
PECOS Enrollment IDI20250401000918
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.

Hospital Affiliations CMS Care Compare

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Charlton Otte's NPI number?

The NPI number for Charlton Otte is 1629655881. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Charlton Otte located?

Charlton Otte practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3040.

What is Charlton Otte's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Charlton Otte enrolled in Medicare?

Yes. Charlton Otte 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.

Is Charlton Otte affiliated with any hospitals?

According to CMS data, Charlton Otte is affiliated with Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Charlton Otte was last updated on January 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.