DR. WAEL MOHAMMAD OTAIBI (D.O.) – Surgery Physician, NPI 1255452124
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. WAEL MOHAMMAD OTAIBI (D.O.)
207 S Pine St
Shelbyville, IL 625651749
Phone: (217) 464-1200
Fax: (217) 464-1210
Type: Location
1050 Isaac Streets Dr
Suite 134
Oregon, OH 436163291
Phone: (419) 720-2242
Fax: (419) 720-2897
Type: Location
3051 HOLLIS DR FL 2
SPRINGFIELD, IL 627047452
Phone: (217) 523-5432
Fax: (217) 492-9643
Type: Mailing
1770 E LAKE SHORE DR STE 105
DECATUR, IL 625213800
Phone: (217) 329-1000
Fax: (217) 329-1055
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $593.
Total Amount is formed as General ($593) + Research ($0) + Ownership ($0) = $593.
Last reported payment date: 2024-01-29 • Largest payer in this snapshot: Tactile Systems Technology Inc ($201).
Total Amount
$593
General + Research + Ownership
Payments
8
Total payment records
General Amount
$593
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tactile Systems Technology Inc | $201 |
| Boston Scientific Corporation | $143 |
| Medtronic, Inc. | $138 |
| Inari Medical, Inc. | $93 |
| TACTILE SYSTEMS TECHNOLOGY INC | $18 |
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: 2021-03-03
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 |
|---|---|---|---|---|
| I20210303001156 | I | General Surgery | MI | 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 |
|---|---|---|---|---|
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 105 | 39 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 94 | 37 | $0 |
| 36475 | Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 60 | 26 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 49 | 46 | $0 |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 33 | 24 | $0 |
Insurance plans in this area (ZIP 62565)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | OH | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 25 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IL | |
| G A S T R O E N T E R O L O G Y | TX | |
| Internal Medicine | IL | |
| General Surgery | IL | |
| - | IL | |
| General Surgery | IL | |
| Family Practice | IL | |
| - | IL | |
| - | IL |
Reviews
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