DR. BENJAMIN OTTE (MD) – Ophthalmology Physician, NPI 1548896319

DR. BENJAMIN OTTE (MD) is a healthcare provider. based in Wasilla, Alaska. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 0101273156 (VA). The NPI Number for DR. BENJAMIN OTTE (MD) is 1548896319

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN OTTE (MD)
NPI
1548896319
Phone
(907) 376-2020
Address
4505 E Greenstreet Cir
Enumeration Date
12 March 2020
Last Update Date
23 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9073762020
Graduation Year
2020 (6 years ago)
PAC ID
4880128594
Group Practice PAC ID
7012032949
Professional Enrollment ID
I20250903004427
Address ID
AK996548425WA4505XCIRX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Digital endpointsOther names

28 OPHTHALMOLOGY in AK

Provider Addresses for DR. BENJAMIN OTTE (MD)

  • 4505 E Greenstreet Cir

    Wasilla, AK 996548425

    Phone: (907) 376-2020

    Type: Location

  • 3551 ROGER BROOKE DR

    JBSA FT SAM HOUSTON, TX 782344504

    Phone: (210) 292-6030

    Type: Mailing

  • 673 MDG

    5955 ZEAMER AVENUE

    JBER, AK 99506

    Phone: (907) 580-1162

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $716.

Total Amount is formed as General ($716) + Research ($0) + Ownership ($0) = $716.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($566).

Total Amount

$716

General + Research + Ownership

Payments

6

Total payment records

General Amount

$716

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241116000013IOphthalmologyTXTBD
I20250903004427IOphthalmologyAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012032949View full group profile
NameSpecialtyState
O P T O M E T R YUT
O P T O M E T R YAK
O P H T H A L M O L O G YAK
O P T O M E T R YKY
O P T O M E T R YAK
O P T O M E T R YAK
O P T O M E T R YKY
O P T O M E T R YAK

Reviews

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Frequently asked questions

What is the registry number for DR. BENJAMIN OTTE (MD)?
The registry entry for DR. BENJAMIN OTTE (MD) shows NPI 1548896319.
Quick check: is DR. BENJAMIN OTTE (MD) active?
Public NPPES data shows DR. BENJAMIN OTTE (MD) with an active NPI status right now.
How should patients interpret DR. BENJAMIN OTTE (MD)'s specialty?
The extract shows Ophthalmology Physician for DR. BENJAMIN OTTE (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. BENJAMIN OTTE (MD)?
DR. BENJAMIN OTTE (MD) shows a connection to Wasilla, Alaska in registry-derived data.
Who maintains DR. BENJAMIN OTTE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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