DOMENIC VINCENT OTTAIANO (M.D.) – Anesthesiology Physician, NPI 1720021009

DOMENIC VINCENT OTTAIANO (M.D.) is a healthcare provider. based in Winter haven, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME0057744 (FL). The NPI Number for DOMENIC VINCENT OTTAIANO (M.D.) is 1720021009

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DOMENIC VINCENT OTTAIANO (M.D.)
NPI
1720021009
Phone
(863) 299-1231
Address
567 Avenue K SE
Enumeration Date
14 June 2006
Last Update Date
24 October 2019

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8632991231
Graduation Year
1986 (40 years ago)
PAC ID
3173700150
Group Practice PAC ID
9537190723
Professional Enrollment ID
I20110527000559
Address ID
FL338804215WI567XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,340 ANESTHESIOLOGY in FL

Provider Addresses for DOMENIC VINCENT OTTAIANO (M.D.)

  • 567 Avenue K SE

    Winter Haven, FL 338804215

    Phone: (863) 299-1231

    Fax: (863) 299-1233

    Type: Location

  • PO BOX 864165

    ORLANDO, FL 328864215

    Phone: (317) 614-9863

    Fax: (844) 876-0873

    Type: Mailing

  • Winter Haven Hospital, 200, Avenue F Northeast, Winter Haven, Polk County, Florida, 33881, United States

    WINTER HAVEN, FL 338814131

    Phone: (862) 293-1121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-05-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20110527000559IAnesthesiologyFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery324302$0
00103Anesthesia for procedure on eyelid3330$0
View full utilization report →

Insurance plans in this area (ZIP 33880)

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Provider's Procedures

DOMENIC VINCENT OTTAIANO (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYFL00142Anesthesia for lens surgery263256

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: 9537190723View full group profile

Reviews

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Frequently asked questions

What is the registry number for DOMENIC VINCENT OTTAIANO (M.D.)?
The registry entry for DOMENIC VINCENT OTTAIANO (M.D.) shows NPI 1720021009.
Should I treat DOMENIC VINCENT OTTAIANO (M.D.) as an active provider?
Patients and plans typically see DOMENIC VINCENT OTTAIANO (M.D.) as active in the national extract.
What type of care does DOMENIC VINCENT OTTAIANO (M.D.) provide?
DOMENIC VINCENT OTTAIANO (M.D.)'s profile centers on Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DOMENIC VINCENT OTTAIANO (M.D.) tied to Winter Haven, Florida?
If you are local to Winter Haven, Florida, DOMENIC VINCENT OTTAIANO (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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