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DR. PHILIP EDWARD OTTERBECK M.D.
NPI 1831386424
Internal Medicine - Endocrinology, Diabetes & Metabolism in Staten Island, NY

Active since September 27, 2007PECOS EnrolledAccepts Medicare Assignment
66.8/100
CMS Quality Rating
1366 VICTORY BLVD, SUITE A, STATEN ISLAND, NY 10301(718) 727-1366(718) 727-5041 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip Edward Otterbeck M.d. NPPES

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

DR. PHILIP EDWARD OTTERBECK M.D. (NPI 1831386424) is an individual endocrinology, diabetes & metabolism provider in Staten Island, New York, licensed in New York (252426) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Peter's University Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1831386424
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. PHILIP EDWARD OTTERBECKCredential: M.D.
Location Address1366 VICTORY BLVD, SUITE AStaten Island, NY 10301-3907
Mailing Address1366 Victory Blvd, Suite AStaten Island, NY 10301-3907 · (718) 727-1366 · Fax (718) 727-5041
Phone(718) 727-1366
Fax(718) 727-5041
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 27, 2007
Last NPPES UpdateNovember 28, 2012
✔ NPI 1831386424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 252426
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1366 VICTORY BLVD, Staten Island, NY 10301
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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. Philip Edward Otterbeck 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 ID9032255567
PECOS Enrollment IDI20091014000027
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 8

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.
886 services582 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.
313 services271 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
222 services90 patients
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.
75 services68 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
63 services63 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
31 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Richmond University Medical Center

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330028
Location355 Bard AvenueStaten Island, NY 10310 · Richmond County
Emergency services Birthing friendly

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10301 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

66.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.27
Promoting Interoperability0.55
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers12 claims360 services$2.37 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims11 services$145.18 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
51 suppliers237 claims680 services$6.07 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
8 suppliers33 claims33 services$2.75 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
7 suppliers18 claims18 services$1.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
25 suppliers109 claims153 services$1.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

SAMALA R SWAMY, MD, PC
Internal Medicine (Cardiovascular Disease)
1366 VICTORY BLVD, SUITE B
STATEN ISLAND, NY 10301
Richmond County (718) 442-8351
DR. JUDITH MCLOUGHLIN MD
Internal Medicine (Nephrology)
1366 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (718) 273-3400
DR. MEILIN ZHANG MD
Internal Medicine (Nephrology)
1366 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (718) 273-3400
DR. SAMALA RAMA SWAMY M.D.
Specialist
1366 VICTORY BLVD, SUITE B
STATEN ISLAND, NY 10301
Richmond County (718) 442-8351
DR. JAUDAT H KHAN MD
Internal Medicine (Nephrology)
1366 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (718) 273-3400
DR. BERTRAM ALPERT MD
Internal Medicine (Nephrology)
1366 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (718) 273-3400
DR. BHAVESH GALA MD
Internal Medicine (Cardiovascular Disease)
1366 VICTORY BLVD, STE B
STATEN ISLAND, NY 10301
Richmond County (718) 442-8351
DR. THOMAS JOSEPH FORLENZA MD
Internal Medicine (Hematology & Oncology)
1366 VICTORY BLVD
STATEN ISLAND, NY 10301
Richmond County (718) 816-4949

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 Philip Otterbeck's NPI number?

The NPI number for Philip Otterbeck is 1831386424. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Where is Philip Otterbeck located?

Philip Otterbeck practices at 1366 Victory Blvd Suite A, Staten Island, NY 10301. The listed phone number is (718) 727-1366.

What is Philip Otterbeck's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Philip Otterbeck enrolled in Medicare?

Yes. Philip Otterbeck 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.

Is Philip Otterbeck affiliated with any hospitals?

According to CMS data, Philip Otterbeck is affiliated with Saint Peter's University Hospital, Richmond University Medical Center and Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Philip Otterbeck was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.