MICHAEL OTTO PA-C
NPI 1639168891
Physician Assistant - Surgical in Lima, OH

Q: What is Michael Otto's NPI number?

The NPI number for Michael Otto is 1639168891. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Q: What is Michael Otto's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Michael Otto was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment

730 W MARKET ST STE 2K, LIMA, OH 45801(419) 996-4011(419) 996-4012 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Michael Otto Pa-c NPPES

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

MICHAEL OTTO PA-C (NPI 1639168891) is an individual surgical provider in Lima, Ohio, licensed in Ohio (50001888) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1639168891

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMICHAEL OTTOCredential: PA-C

Location Address730 W MARKET ST STE 2KLima, OH 45801-4602

Mailing Address730 W Market St Ste 2kLima, OH 45801-4602 · (419) 996-4011 · Fax (419) 996-4012

Phone(419) 996-4011

Fax(419) 996-4012

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateOctober 19, 2005

Last NPPES UpdateNovember 5, 2020

NPPES CertifiedNovember 5, 2020

✔ NPI 1639168891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OH · 50001888

730 W MARKET ST STE 2K, Lima, OH 45801

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Otto Pa-c 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 ID6305829417

PECOS Enrollment IDI20040610000289

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 2

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 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.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360066

Location730 West Market StreetLima, OH 45801 · Allen County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

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

CHERYL LYNN MOTTER CNP

Nurse Practitioner