MARK A OTTO (M.D.) – Hospitalist Physician, NPI 1386794386

MARK A OTTO (M.D.) is a healthcare provider. based in Council bluffs, Iowa. specializing in HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. 26689 (NE). The NPI Number for MARK A OTTO (M.D.) is 1386794386

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MARK A OTTO (M.D.)
NPI
1386794386
Phone
(855) 524-4001
Address
800 MERCY DR
Enumeration Date
11 January 2007
Last Update Date
10 April 2017

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7123285490
Graduation Year
1995 (31 years ago)
PAC ID
6709894751
Group Practice PAC ID
1951210418
Professional Enrollment ID
I20060403000098
Address ID
IA515033128CO800XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

414 HOSPITALIST in IA

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Provider Addresses for MARK A OTTO (M.D.)

  • CHI Health Mercy Council Bluffs, 800, Mercy Drive, Council Bluffs, Pottawattamie County, Iowa, 51503, United States

    COUNCIL BLUFFS, IA 515033128

    Phone: (855) 524-4001

    Fax: (712) 325-2499

    Mailing address matches the actual address.

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: 2013-02-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060403000098IHospitalistIATBD
I20130216000017IHospitalistNETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 51503)

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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: 1951210418View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
Orthopedic SurgeryNE
Physician AssistantNE
Cardiovascular Disease (Cardiology)NE
H O S P I T A L I S TCA
N E U R O L O G YMO
U R O L O G YNE
Hospitalist, Internal MedicineIA
Family PracticeNE
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

What is MARK A OTTO (M.D.)'s NPI number?
MARK A OTTO (M.D.)'s NPI is 1386794386 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MARK A OTTO (M.D.)?
You should see MARK A OTTO (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with MARK A OTTO (M.D.)?
MARK A OTTO (M.D.)'s record emphasizes Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is MARK A OTTO (M.D.) associated with Council Bluffs?
Public fields place MARK A OTTO (M.D.) around Council Bluffs, Iowa. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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