KYLE OTA M.D., MPH
NPI 1942682117
Colon & Rectal Surgery in Visalia, CA

Active since June 24, 2015PECOS Enrolled
97.12/100
CMS Quality Rating
5400 W HILLSDALE AVE, VISALIA, CA 93291(559) 738-7500 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kyle Ota M.d., Mph NPPES

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

KYLE OTA M.D., MPH (NPI 1942682117) is an individual colon & rectal surgery provider in Visalia, California, licensed in California (A144748) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bakersfield, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1942682117
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameKYLE OTACredential: M.D., MPH
Location Address5400 W HILLSDALE AVEVisalia, CA 93291-8222
Mailing Address5601 Coffee Rd Apt 922Bakersfield, CA 93308-9468 · (808) 779-0642
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 24, 2015
Last NPPES UpdateAugust 19, 2021
NPPES CertifiedAugust 19, 2021
NPI 1942682117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in CA · A144748
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
5400 W HILLSDALE AVE, Visalia, CA 93291

Secondary Practice Location 1

Location 11700 Mount Vernon AveBakersfield, CA 93306-4018 · Phone (661) 326-2276

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kyle Ota M.d., Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597167312
PECOS Enrollment IDI20210715001611
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 14

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
184 services182 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
84 services82 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.
82 services70 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
74 services74 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
54 services54 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.
53 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291
Internal Medicine
5400 W HILLSDALE AVE
VISALIA, CA 93291
Orthopaedic Surgery
5400 W HILLSDALE AVE
VISALIA, CA 93291
Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291
Nurse Practitioner
5400 W HILLSDALE AVE
VISALIA, CA 93291
Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291
Podiatrist
5400 W HILLSDALE AVE
VISALIA, CA 93291
Pediatrics
5400 W HILLSDALE AVE
VISALIA, CA 93291

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 Kyle Ota's NPI number?

The NPI number for Kyle Ota is 1942682117. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Kyle Ota located?

Kyle Ota practices at 5400 W Hillsdale Ave, Visalia, CA 93291. The listed phone number is (559) 738-7500.

What is Kyle Ota's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Kyle Ota enrolled in Medicare?

Yes. Kyle Ota is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Ota was last updated on August 19, 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.