DR. THOMAS MICHAEL OTTAVI (PHD) – Counseling Psychologist, NPI 1649220054
Counseling Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
192 CLINICAL PSYCHOLOGIST in IA
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Provider Addresses for DR. THOMAS MICHAEL OTTAVI (PHD)
Medical Associates Clinic, 1500, Associates Drive, Dubuque, Dubuque County, Iowa, 52002, United States
DUBUQUE, IA 520022201
Phone: (563) 584-4100
Fax: (563) 584-4110
Type: Mailing
200, Mercy Drive, Dubuque, Dubuque County, Iowa, 52001, United States
SUITE 201
DUBUQUE, IA 520017303
Phone: (563) 584-3500
Fax: (563) 584-3520
Type: Location
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.
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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: 2009-11-30
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 |
|---|---|---|---|---|
| I20091130000092 | I | Clinical Psychologist | IA | 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 |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 120 | 19 | $0 |
Insurance plans in this area (ZIP 52002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IA | |
| - | IA | |
| D E R M A T O L O G Y | WI | |
| Physical Medicine And Rehabilitation | IA | |
| - | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA | |
| - | IA | |
| Physician Assistant | IA | |
| Physical Therapist In Private Practice | IA |
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