DR. LUIS BENITO OTERO JR. M.D.
NPI 1679569511
Family Medicine in Portland, OR

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
1700 NE 102ND AVE, PORTLAND, OR 97220(210) 292-2055 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2024, Dec 20, 2024, Jul 20, 2020 and 3 more (6 updates tracked since 2015).

About Dr. Luis Benito Otero Jr. M.d. NPPES

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

DR. LUIS BENITO OTERO JR. M.D. (NPI 1679569511) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD223102) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2001).

NPPES Registry Identity

NPI1679569511
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LUIS BENITO OTERO JR.Credential: M.D.
Location Address1700 NE 102ND AVEPortland, OR 97220-3804
Mailing Address1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · (210) 292-2055
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2001
Enumeration DateSeptember 26, 2005
Last NPPES UpdateDecember 27, 20246 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
NPI 1679569511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in OR · MD223102 Licensed in VA · 0101268285
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.
1700 NE 102ND AVE, Portland, OR 97220

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

Dr. Luis Benito Otero Jr. 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 ID7416940853
PECOS Enrollment IDI20250304002241, I20250402000944
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Family Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1700 NE 102ND AVE
PORTLAND, OR 97220
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1700 NE 102ND AVE
PORTLAND, OR 97220
Pharmacist
1700 NE 102ND AVE
PORTLAND, OR 97220
Nurse Practitioner (Family)
1700 NE 102ND AVE
PORTLAND, OR 97220
Dietitian, Registered
1700 NE 102ND AVE
PORTLAND, OR 97220
Internal Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Family Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220

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 Luis Otero's NPI number?

The NPI number for Luis Otero is 1679569511. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Luis Otero located?

Luis Otero practices at 1700 NE 102nd Ave, Portland, OR 97220. The listed phone number is (210) 292-2055.

What is Luis Otero's specialty?

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

Is Luis Otero enrolled in Medicare?

Yes. Luis 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.

What insurance does Luis Otero accept?

Health plans from Kaiser Permanente list Luis 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.

When was this NPI record last updated?

The NPPES record for Luis Otero was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.