LUIS E OTERO M.D.
NPI 1902910664
Family Medicine in Palm Springs, FL

Q: What is Luis Otero's NPI number?

The NPI number for Luis Otero is 1902910664. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Q: What is Luis Otero's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Luis Otero was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment

3142 S CONGRESS AVE, PALM SPRINGS, FL 33461(561) 967-3186(561) 967-3187 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2021, Feb 4, 2021 (2 updates tracked since 2021).

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About Luis E Otero M.d. NPPES

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

LUIS E OTERO M.D. (NPI 1902910664) is an individual family medicine provider in Palm Springs, Florida, licensed in Florida (ME93871) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1902910664

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLUIS E OTEROCredential: M.D.

Location Address3142 S CONGRESS AVEPalm Springs, FL 33461-2552

Mailing Address9874 Shepard PlWellington, FL 33414-6418 · (561) 967-3186 · Fax (561) 967-3187

Phone(561) 967-3186

Fax(561) 967-3187

Sole ProprietorYes

Medical School CMSOtherGraduated 1990

Enumeration DateAugust 19, 2006

Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration

NPPES CertifiedAugust 24, 2021

✔ NPI 1902910664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME93871

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.

Also ListedSpecialistTaxonomy 174400000X · License ME93871 (FL)

3142 S CONGRESS AVE, Palm Springs, FL 33461

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Secondary Practice Location 1

Location 16850 Coral Way Ste 507Miami, FL 33155-1758 · Phone (305) 667-1080

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luis E Otero 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 ID2466557913

PECOS Enrollment IDI20070412000193

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.

Medicare Billing Reassignments

Medicare enrollment records show Luis Otero reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Luis E Otero MD PA

Same address

Family Medicine

3142 S CONGRESS AVE
Palm Springs, FL 33461

Reassigned Medicare billing, Florida enrollment

NPI 1790926616 (561) 967-3186

Hospitalist Group Of The Palm Beaches PA

2.2 mi

Internal Medicine

5301 S CONGRESS AVE
Atlantis, FL 33462

Reassigned Medicare billing, Florida enrollment
66 clinicians in this Medicare group

NPI 1801249990 (561) 965-7300

Accountable Care Hospitalist Group

7.4 mi

Internal Medicine

10101 FOREST HILL BLVD
Wellington, FL 33414

Reassigned Medicare billing, Florida enrollment
265 clinicians in this Medicare group

NPI 1659640282 (561) 766-1300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

327 services135 patients

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.

67 services32 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

54 services25 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.

34 services22 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.

22 services17 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100080

Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County

Emergency services

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100275

Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33461 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Collagen dressing, sterile, size more than 48 sq. in., each A6023

DME-Medical/Surgical Supplies · category DA023N

1 supplier14 claims168 services$185.02 avg. paid by Medicare

Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions E0467

DME-Other DME · category DE005N

1 supplier11 claims32 services$1,052.51 avg. paid by Medicare

Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access E2510

DME-Other DME · category DE000N

1 supplier13 claims36 services$621.77 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 2

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

ARIANIA DUPEYRON HERNANDEZ PA

Physician Assistant (Medical)

3142 S CONGRESS AVE
PALM SPRINGS, FL 33461

Palm Beach County (561) 967-3186

LUIS E OTERO MD PA

Family Medicine

3142 S CONGRESS AVE
PALM SPRINGS, FL 33461

Palm Beach County (561) 967-3186

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 1902910664. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Luis Otero located?

Luis Otero practices at 3142 S Congress Ave, Palm Springs, FL 33461. The listed phone number is (561) 967-3186.

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.

Which organizations bill Medicare for Luis Otero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Otero reassigns Medicare benefits to 3 organizations: Luis E Otero MD PA (Palm Springs, FL), Hospitalist Group Of The Palm Beaches PA (Atlantis, FL) and Accountable Care Hospitalist Group (Wellington, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luis Otero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Otero accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health and 3 other insurers 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.

Is Luis Otero affiliated with any hospitals?

According to CMS data, Luis Otero is affiliated with Hca Florida Jfk Hospital and Wellington Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Luis Otero was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.