MAXWELL JAMES OTTO MD
NPI 1770078982
Surgery in Bismarck, ND

Q: What is Maxwell Otto's NPI number?

The NPI number for Maxwell Otto is 1770078982. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Q: What is Maxwell Otto's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Maxwell Otto was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since June 29, 2018PECOS EnrolledAccepts Medicare Assignment

222 N 7TH ST, BISMARCK, ND 58501(701) 323-5300(701) 323-5886 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2024, Jun 18, 2023, Jun 29, 2018 (3 updates tracked since 2018).

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About Maxwell James Otto Md NPPES

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

MAXWELL JAMES OTTO MD (NPI 1770078982) is an individual surgery provider in Bismarck, North Dakota, licensed in North Dakota (21311) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and is a graduate of University Of North Dakota School Of Medicine (2018).

NPPES Registry Identity

NPI1770078982

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMAXWELL JAMES OTTOCredential: MD

Location Address222 N 7TH STBismarck, ND 58501-4436

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585

Phone(701) 323-5300

Fax(701) 323-5886

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2018

Enumeration DateJune 29, 2018

Last NPPES UpdateDecember 6, 20243 updates tracked since enumeration

NPPES CertifiedDecember 6, 2024

✔ NPI 1770078982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in ND · 21311✔ Licensed in UT · 13339040-1205

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 21311 (ND), 13339040-1205 (UT)

222 N 7TH ST, Bismarck, ND 58501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan 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

Maxwell James Otto Md 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 ID5395099725

PECOS Enrollment IDI20241211002070

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.

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350015

Location300 N 7th StBismarck, ND 58506 · Burleigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

Most-billed visit code 99213

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.

SARAH MILLER

Nurse Practitioner (Gerontology)