TYLER THEODORE OTTO
NPI 1639667314
Family Medicine in Largo, FL

Q: What is Tyler Otto's NPI number?

The NPI number for Tyler Otto is 1639667314. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Q: What is Tyler Otto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyler Otto was last updated on July 15, 2021. 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 April 27, 2018PECOS EnrolledAccepts Medicare Assignment

12020 SEMINOLE BLVD, LARGO, FL 33778(727) 588-9572 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2021, Oct 31, 2018, Apr 27, 2018 (3 updates tracked since 2018).

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About Tyler Theodore Otto NPPES

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

TYLER THEODORE OTTO (NPI 1639667314) is an individual family medicine provider in Largo, Florida, licensed in Florida (17987) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Morton Plant Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639667314

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTYLER THEODORE OTTO

Location Address12020 SEMINOLE BLVDLargo, FL 33778-2805

Mailing Address12020 Seminole BlvdLargo, FL 33778-2805

Phone(727) 588-9572

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 27, 2018

Last NPPES UpdateJuly 15, 20213 updates tracked since enumeration

NPPES CertifiedJuly 15, 2021

✔ NPI 1639667314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · 17987

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.

12020 SEMINOLE BLVD, Largo, FL 33778

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Theodore Otto 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 ID3072918242

PECOS Enrollment IDI20210826000490

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.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Otto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Suncoast Family Medical Associates

Same address

Family Medicine

12020 SEMINOLE BLVD
Largo, FL 33778

Reassigned Medicare billing, Florida enrollment
18 clinicians in this Medicare group

NPI 1811981178 (727) 588-9572

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

Areas of Expertise CMS Part B claims 10

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.

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.

107 services66 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.

66 services40 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.

43 services36 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

36 services13 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

35 services35 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

29 services11 patients

Hospital Affiliations CMS Care Compare

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

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33778 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 13

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

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