NICOLE OTERO (PA) – Physician Assistant, NPI 1104204320
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for NICOLE OTERO (PA)
204 AUSTIN LN
APT #108
SCHAUMBURG, IL 601955170
Phone: (847) 630-0863
Type: Mailing
2520 S PLAZA DR APT 1003
TEMPE, AZ 852821028
Phone: (847) 630-8630
Type: Mailing
1900 N HIGLEY RD
GILBERT, AZ 852341604
Phone: (480) 543-2000
Type: Location
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 $677.
Total Amount is formed as General ($677) + Research ($0) + Ownership ($0) = $677.
Last reported payment date: 2024-07-20 • Largest payer in this snapshot: Stryker Corporation ($624).
Total Amount
$677
General + Research + Ownership
Payments
6
Total payment records
General Amount
$677
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $624 |
| Smith+Nephew, Inc. | $27 |
| Ethicon US, LLC | $27 |
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: 2021-11-30
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 |
|---|---|---|---|---|
| I20211130002182 | I | Physician Assistant | AZ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 284 | 49 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 166 | 102 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 99 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 52 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 62 | 50 | $0 |
Insurance plans in this area (ZIP 60195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Gastroenterology | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Infectious Disease, Internal Medicine | AZ | |
| Nurse Practitioner | AZ | |
| Cardiac Surgery | IN | |
| - | AZ | |
| General Surgery | AZ | |
| Sports Medicine | IL | |
| Orthopedic Surgery | AZ |
Reviews
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