SCOTT C OTTO (MD) – Surgery Physician, NPI 1497749162
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
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Provider Addresses for SCOTT C OTTO (MD)
1641, North Milwaukee Avenue, Libertyville, Lake County, Illinois, 60048, United States
SUITE 13
LIBERTYVILLE, IL 60048
Phone: (847) 816-7495
Fax: (847) 816-7497
Type: Location
West Winchester Road, Libertyville, Lake County, Illinois, 60060, United States
SUITE 112
LIBERTYVILLE, IL 600485358
Phone: (847) 816-7495
Fax: (847) 816-7497
Type: Mailing
360 Peak One Dr Ste 300
Frisco, CO 804435948
Phone: (720) 321-8080
Fax: (720) 321-8081
Type: Location
11700 W 2ND PL STE 210
LAKEWOOD, CO 802281716
Phone: (720) 321-8080
Fax: (720) 321-8081
Type: Location
PO BOX 800022
KANSAS CITY, MO 641800022
Phone: (800) 953-0104
Fax: (303) 765-6670
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $303.
Total Amount is formed as General ($303) + Research ($0) + Ownership ($0) = $303.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: KLS-Martin L.P. ($220).
Total Amount
$303
General + Research + Ownership
Payments
5
Total payment records
General Amount
$303
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KLS-Martin L.P. | $220 |
| Prytime Medical Devices, Inc. | $58 |
| ConvaTec Inc. | $14 |
| Intuitive Surgical, Inc. | $10 |
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: 2022-01-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071115000258 | I | General Surgery | IL | TBD |
| I20220124002512 | I | General Surgery | CO | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 20 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 60048)
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