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DR. ANDREA SHAE OTTO M.D.
NPI 1851336325
Family Medicine in Saint Louis, MO

Active since June 18, 2006PECOS Enrolled
1001 S KIRKWOOD RD, STE 300, SAINT LOUIS, MO 63122(314) 543-5943(314) 543-5953 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2017, Jan 26, 2016 (2 updates tracked since 2016).

About Dr. Andrea Shae Otto M.d. NPPES

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

DR. ANDREA SHAE OTTO M.D. (NPI 1851336325) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2012013484) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851336325
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDREA SHAE OTTOCredential: M.D.
Location Address1001 S KIRKWOOD RD, STE 300Saint Louis, MO 63122-7254
Mailing Address1001 S Kirkwood Rd, Ste 300Saint Louis, MO 63122-7254 · (314) 543-5943 · Fax (314) 543-5953
Phone(314) 543-5943
Fax(314) 543-5953
Sole ProprietorNo
Enumeration DateJune 18, 2006
Last NPPES UpdateMarch 14, 20172 updates tracked since enumeration
✔ NPI 1851336325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · 2012013484✔ Licensed in NE · 23567
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.
1001 S KIRKWOOD RD, Saint Louis, MO 63122
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Other Names 1

Former Name (1)Dr. Andrea Shae Herold M.d.

Other Identifiers 2

Other23567NE · State License Number
Other2012013484MO · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrea Shae Otto M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63122 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

DIAGNOSTIC HEALTH CORPORATION
Physiological Laboratory
1001 S KIRKWOOD RD, SUITE 110
KIRKWOOD, MO 63122
St. Louis County (314) 821-9173
PLASTIC SURGERY CENTER OF ST LOUIS PC
Specialist
1001 S KIRKWOOD RD, STE 160
KIRKWOOD, MO 63122
St. Louis County (314) 984-0461
CHRISTINE PERIASAMY
Occupational Therapist
1001 S KIRKWOOD RD, STE 140
SAINT LOUIS, MO 63122
St. Louis County (314) 821-5300
REBECCA NEHRT MOT, OTR/L
Occupational Therapist
1001 S KIRKWOOD RD, STE 150
KIRKWOOD, MO 63122
St. Louis County (314) 821-7554
ORTHOPEDIC & SPORTS MEDICINE INC
Orthopaedic Surgery
1001 S KIRKWOOD RD, SUITE 120
SAINT LOUIS, MO 63122
St. Louis County (314) 966-8887
ALYSSA DARLAK DPT
Physical Therapist
1001 S KIRKWOOD RD
KIRKWOOD, MO 63122
St. Louis County (314) 821-5300
DR. SHERWYN JORDAN WAYNE M.D.
Orthopaedic Surgery
1001 S KIRKWOOD RD, SUITE 120
SAINT LOUIS, MO 63122
St. Louis County (314) 966-8887
REGINA BALDWIN
Speech-Language Pathologist
1001 S KIRKWOOD RD, SUITE 150
KIRKWOOD, MO 63122
St. Louis County (314) 821-7554

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 Andrea Otto's NPI number?

The NPI number for Andrea Otto is 1851336325. It was assigned to this individual provider in the NPPES registry on June 18, 2006. The provider is also known as Dr. Andrea Shae Herold M.D..

Where is Andrea Otto located?

Andrea Otto practices at 1001 S Kirkwood Rd Ste 300, Saint Louis, MO 63122. The listed phone number is (314) 543-5943.

What is Andrea Otto's specialty?

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

Is Andrea Otto enrolled in Medicare?

Yes. Andrea Otto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Otto was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.