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MRS. VICTORIA ANGELA OTTERBECK PA-C
NPI 1992765416
Physician Assistant in Staten Island, NY

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
475 SEAVIEW AVENUE, STATEN ISLAND, NY 10305(718) 226-6210(718) 226-1653 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Victoria Angela Otterbeck Pa-c NPPES

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

MRS. VICTORIA ANGELA OTTERBECK PA-C (NPI 1992765416) is an individual physician assistant in Staten Island, New York, licensed in New York (009474) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1992765416
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. VICTORIA ANGELA OTTERBECKCredential: PA-C
Location Address475 SEAVIEW AVENUEStaten Island, NY 10305
Mailing Address475 Seaview AvenueStaten Island, NY 10305 · (718) 226-6210 · Fax (718) 226-1653
Phone(718) 226-6210
Fax(718) 226-1653
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 27, 2006
Last NPPES UpdateJanuary 6, 2016
✔ NPI 1992765416 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 NY · 009474
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.
475 SEAVIEW AVENUE, Staten Island, NY 10305
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Other Names 1

Former Name (1)Mrs. Victoria Angela Miller Pa-c

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

Mrs. Victoria Angela Otterbeck Pa-c 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 ID446259352
PECOS Enrollment IDI20061204000086
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.

Hospital Affiliations CMS Care Compare

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

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 10305 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.51 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 20

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

DR. JEAN CHALHOUB M.D
Internal Medicine (Gastroenterology)
475 SEAVIEW AVENUE, DEPARTMENT OF INTERNAL MEDICINE
STATEN ISLAND, NY 10305
Richmond County (718) 226-8855
GHADA ARAJI M.D.
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-8313
CHEN CHEN
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-8313
MS. SIMARAN KAHLON M.D.
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9359
AMAL A RAHMAN M.D.
Pediatrics
475 SEAVIEW AVENUE, DEPARTMENT OF PEDIATRICS
STATEN, NY 10305
Richmond County (718) 226-9360
SAAD HABIB M.D.
Internal Medicine (Critical Care Medicine)
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6205
RA'ED YOUSEF FAREED NASSAR MD
Internal Medicine (Nephrology)
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-8313
GHASSAN SAMAHA M.D.
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6205

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 Victoria Otterbeck's NPI number?

The NPI number for Victoria Otterbeck is 1992765416. It was assigned to this individual provider in the NPPES registry on March 27, 2006. The provider is also known as Mrs. Victoria Angela Miller Pa-C.

Where is Victoria Otterbeck located?

Victoria Otterbeck practices at 475 Seaview Avenue, Staten Island, NY 10305. The listed phone number is (718) 226-6210.

What is Victoria Otterbeck's specialty?

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

Is Victoria Otterbeck enrolled in Medicare?

Yes. Victoria 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 Victoria Otterbeck affiliated with any hospitals?

According to CMS data, Victoria Otterbeck is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Victoria Otterbeck was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.