DR. JOSE P PIZARRO OTERO M.D.
NPI 1669528550
Psychiatry & Neurology - Sleep Medicine in San Juan, PR

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
10 CALLE CASIA, SAN JUAN, PR 00921(787) 641-7582 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2025, Sep 26, 2024, Apr 5, 2024 and 4 more (7 updates tracked since 2016).

About Dr. Jose P Pizarro Otero M.d. NPPES

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

DR. JOSE P PIZARRO OTERO M.D. (NPI 1669528550) is an individual sleep medicine provider in San Juan, Puerto Rico, licensed in Puerto Rico (16695) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669528550
Entity TypeIndividualMale
Primary Taxonomy2084S0012X
Provider Legal NameDR. JOSE P PIZARRO OTEROCredential: M.D.
Location Address10 CALLE CASIASan Juan, PR 00921-3200
Mailing Address10 Calle CasiaSan Juan, PR 00921-3200 · (787) 641-7582
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJanuary 2, 20257 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1669528550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
Licenses✔ Licensed in PR · 16695✔ Licensed in FL · ME108712✔ Licensed in NY · 250279✔ Licensed in CA · C154872
Definition
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License C154872 (CA), 250279 (NY), ME108712 (FL)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 16695 (PR), 35.151909 (OH), ME108712 (FL), C154872 (CA), 108712 (FL), U7744 (TX), 250279 (NY)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 16695 (PR)

Secondary Practice Locations 2

Location 111215 Metro Pkwy Ste 1Fort Myers, FL 33966-1206 · Phone (239) 208-2206
Location 2630 Eaton AveHamilton, OH 45013-2767 · Phone (513) 867-2000 · Fax (513) 867-2119

Other Identifiers 2

Medicaid007753600FL
Medicaid0074546OH

Accepted Insurance

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

Dr. Jose P Pizarro Otero 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 ID6002986536
PECOS Enrollment IDI20080610000175, I20230919001701, I20241030003881
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 Reassignments

7

Medicare enrollment records show Jose Pizarro Otero reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2413 RING RD STE 100
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 clinicians in this Medicare group
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
Hospitalist
5190 SW 8TH ST
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • 187 clinicians in this Medicare group
Neurology
11215 METRO PKWY STE 1
Fort Myers, FL 33966
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 2 clinicians in this Medicare group
Neurology
11215 METRO PKWAY, BLDG. 3, STE 1
Fort Myers, FL 33966
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 4 clinicians in this Medicare group
Neurology
11215 METRO PKWY STE 1
Fort Myers, FL 33966
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 3 clinicians in this Medicare group
Neurology
320 DECKER DR
Irving, TX 75062
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 3 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 5

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00921 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Psychiatry & Neurology (Psychiatry)
10 CALLE CASIA
SAN JUAN, PR 00921
Pharmacy Technician
10 CALLE CASIA
SAN JUAN, PR 00921
Dietitian, Registered
10 CALLE CASIA
SAN JUAN, PR 00921
Dietitian, Registered
10 CALLE CASIA
SAN JUAN, PR 00921
Respiratory Therapist, Registered
10 CALLE CASIA, SAN JUAN
SAN JUAN, PR 00921
Psychiatry & Neurology (Psychiatry)
10 CALLE CASIA
SAN JUAN, PR 00921
Psychologist (Clinical)
10 CALLE CASIA, VA CARIBBEAN HEALTHCARE SYSTEM
SAN JUAN, PR 00921
Internal Medicine
10 CALLE CASIA
SAN JUAN, PR 00921

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 Jose Pizarro Otero's NPI number?

The NPI number for Jose Pizarro Otero is 1669528550. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Jose Pizarro Otero located?

Jose Pizarro Otero practices at 10 Calle Casia, San Juan, PR 00921. The listed phone number is (787) 641-7582.

What is Jose Pizarro Otero's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Jose Pizarro Otero enrolled in Medicare?

Yes. Jose Pizarro Otero 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.

Which organizations bill Medicare for Jose Pizarro Otero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Pizarro Otero reassigns Medicare benefits to 7 organizations: Baptist Health Medical Group Inc (Elizabethtown, KY), Kettering Independent Medical Group Inc (Miamisburg, OH), Knd Development 59, LLC (Coral Gables, FL), Telespecialists North Carolina Neurology Services PLLC (Fort Myers, FL), Virtual Neurology, LLC (Fort Myers, FL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Pizarro Otero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Pizarro Otero accept?

Health plans from Anthem Blue Cross and Blue Shield, AvMed, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas and CareSource and 2 other insurers list Jose Pizarro Otero 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 Jose Pizarro Otero affiliated with any hospitals?

According to CMS data, Jose Pizarro Otero is affiliated with Adventhealth Orlando, St Josephs Hospital, Morton Plant Hospital, Christus St Vincent Regional Medical Center and Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Jose Pizarro Otero was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.