DR. DERON C. K. OTTEY (M.D.) – Orthopaedic Surgery Physician, NPI 1871550780
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
Provider Addresses for DR. DERON C. K. OTTEY (M.D.)
417 W Call St
Starke, FL 320913115
Phone: (904) 368-0641
Fax: (904) 368-0643
Type: Location
115 E 19TH ST
ROSWELL, NM 882015110
Phone: (575) 622-7600
Type: Location
417, West Call Street, Starke, Bradford County, Florida, 32091, United States
STARKE, FL 320913115
Phone: (904) 368-0641
Fax: (904) 368-0643
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $416.
Total Amount is formed as General ($416) + Research ($0) + Ownership ($0) = $416.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Stryker Corporation ($148).
Total Amount
$416
General + Research + Ownership
Payments
4
Total payment records
General Amount
$416
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $148 |
| Smith+Nephew, Inc. | $148 |
| Sonex Health, Inc. | $120 |
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: 2025-07-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250718004266 | I | Orthopedic Surgery | NM | TBD |
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.
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 32091)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | FL | 73110 | X-ray of wrist, minimum of 3 views | 76 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | NM | |
| Nurse Practitioner | NM | |
| General Surgery | NM | |
| - | NM | |
| - | NM | |
| - | NM | |
| Cardiovascular Disease (Cardiology) | NM | |
| Family Practice | NM | |
| - | NM | |
| Geriatric Medicine, Internal Medicine | NM |
Reviews
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