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MR. ALFRED OTERO PA-C, MPAS
NPI 1801011663
Physician Assistant in Lake City, FL

Active since April 16, 2007PECOS Enrolled
1465 W US HIGHWAY 90 STE 100, LAKE CITY, FL 32055(386) 755-2268(386) 243-8448 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Alfred Otero Pa-c, Mpas NPPES

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

MR. ALFRED OTERO PA-C, MPAS (NPI 1801011663) is an individual physician assistant in Lake City, Florida, licensed in Florida (PA 0003636) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801011663
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ALFRED OTEROCredential: PA-C, MPAS
Location Address1465 W US HIGHWAY 90 STE 100Lake City, FL 32055-6154
Mailing Address504 Sw Paces GlnLake City, FL 32024 · (352) 672-0184
Phone(386) 755-2268
Fax(386) 243-8448
Sole ProprietorNo
Enumeration DateApril 16, 2007
Last NPPES UpdateJune 12, 2020
NPPES CertifiedJune 12, 2020
✔ NPI 1801011663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA 0003636
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1465 W US HIGHWAY 90 STE 100, Lake City, FL 32055
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Other Identifiers 1

Medicaid291002100FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Alfred Otero Pa-c, Mpas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

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.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32055 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Alfred Otero's NPI number?

The NPI number for Alfred Otero is 1801011663. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Alfred Otero located?

Alfred Otero practices at 1465 W Us Highway 90 Ste 100, Lake City, FL 32055. The listed phone number is (386) 755-2268.

What is Alfred Otero's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alfred Otero enrolled in Medicare?

Yes. Alfred Otero is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alfred Otero was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.