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DR. WILSON NICOLAS OTERO M.D.
NPI 1992925051
Internal Medicine - Gastroenterology in St. Thomas, VI

Active since April 30, 2007PECOS Enrolled
9149 ESTATE THOMAS, PARAGON MEDICAL BUILDING SUITE 208, ST. THOMAS, VI 00802(340) 714-1122 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 28, 2023, Nov 7, 2019, May 7, 2018 (3 updates tracked since 2018).

About Dr. Wilson Nicolas Otero M.d. NPPES

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

DR. WILSON NICOLAS OTERO M.D. (NPI 1992925051) is an individual gastroenterology provider in St. Thomas, Virgin Islands, licensed in Washington (MD00030353) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992925051
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. WILSON NICOLAS OTEROCredential: M.D.
Location Address9149 ESTATE THOMAS, PARAGON MEDICAL BUILDING SUITE 208St. Thomas, VI 00802-2615
Mailing Address12400 Sw 1st CtPlantation, FL 33325-2702 · (954) 483-8335
Phone(340) 714-1122
Sole ProprietorYes
Enumeration DateApril 30, 2007
Last NPPES UpdateMarch 28, 20233 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
✔ NPI 1992925051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in WA · MD00030353✔ Licensed in VI · 3572✔ Licensed in AZ · 44063
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License 44063 (AZ)

Other Identifiers 15

Other1025558FL · Careplus Provider Id #
Other4073765FL · Aetna Network Id Number
Other020549565FL · Humana Htlh Ins Id #
Other28885FL · Staywell Hlth Plans Id #
Other28885FL · Wellcare Provider Id #
Other96681FL · Blue Cross Blue Shield Fl
Medicaid040931600FL
Other28885FL · Healthease Hlth Plans Id#
Medicaid582847AZ
Other33648FL · Neighborhood Htlh Plan Id
Other020549565FL · United Htlhcare Id #
Other020549565FL · Cigna Ppo Id Number
Other237645FL · Avmed Provider Id #
Other104531FL · Memorial Managed Care Id
Other59257FL · Vista Health Plan Id #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wilson Nicolas Otero 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.

Medicare Billing Reassignment

Medicare enrollment records show Wilson Otero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lovelace Health System, LLC
Rural Health
1627 S UNION AVE
Roswell, NM 88203
  • Reassigned Medicare billing, New Mexico enrollment
  • 59 clinicians in this Medicare group
NPI 1164137964 (575) 208-0106

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00802 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

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. MARGARET E. SPRAUVE M.D., MPH
Obstetrics & Gynecology (Maternal & Fetal Medicine)
9149 ESTATE THOMAS, PARAGON MEDICAL BLDG STE 206
ST THOMAS, VI 00802
St. Thomas Island (340) 777-9696
HEALTH CARE CONNECTION, P.C.
Family Medicine
9149 ESTATE THOMAS, 203
ST THOMAS, VI 00802
St. Thomas Island (340) 776-8989
VIRGIN ISLAND ORTHOPEDICS AND SPORTS MEDICINE P C
Specialist
9149 ESTATE THOMAS, PARAGON MEDICAL BUILDING SUITE 104
ST THOMAS, VI 00802
St. Thomas Island (340) 714-2845
DR. JEFFREY M CHASE MD
Orthopaedic Surgery (Sports Medicine)
9149 ESTATE THOMAS, PARAGON MEDICAL BUILDING STE 104
ST THOMAS, VI 00802
St. Thomas Island (340) 714-2845
DR. JESSICA ANN WILSON M.D.
Internal Medicine
9149 ESTATE THOMAS, PARAGON BLDG STE 202
ST THOMAS, VI 00802
St. Thomas Island (340) 776-5507
CARICARE FAMILY HEALTH SERVICES, L.L.C
Internal Medicine
9149 ESTATE THOMAS, PARAGON MEDICAL BUILDING, SUITE 301
ST THOMAS, VI 00802
St. Thomas Island (340) 776-8112
VIRGIN ISLANDS EAR NOSE AND THROAT PC
Specialist
9149 ESTATE THOMAS, STE 308
ST THOMAS, VI 00802
St. Thomas Island (340) 774-8881
MR. DANIEL JOHN SIMS PT
Physical Therapist
9149 ESTATE THOMAS, SUITE 104, PARAGON MEDICAL BUILDING
ST THOMAS, VI 00802
St. Thomas Island (340) 714-2845

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 Wilson Otero's NPI number?

The NPI number for Wilson Otero is 1992925051. It was assigned to this individual provider in the NPPES registry on April 30, 2007.

Where is Wilson Otero located?

Wilson Otero practices at 9149 Estate Thomas Paragon Medical Building Suite 208, St. Thomas, VI 00802. The listed phone number is (340) 714-1122.

What is Wilson Otero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Wilson Otero enrolled in Medicare?

Yes. Wilson Otero is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wilson Otero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilson Otero reassigns Medicare benefits to Lovelace Health System, LLC (Roswell, NM). The 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 Wilson Otero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wilson Otero was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.