DR. OTIS S SR. LATIMER (M.D.) – Internal Medicine Physician, NPI 1033116058
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,186 INTERNAL MEDICINE in MO
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Provider Addresses for DR. OTIS S SR. LATIMER (M.D.)
5059, West 130th Terrace, Leawood, Johnson County, Kansas, 66209, United States
LEAWOOD, KS 662091861
Phone:
Type: Mailing
3801, Blue Parkway, Kansas City, Jackson County, Missouri, 64130, United States
KANSAS CITY, MO 641302807
Phone: (816) 923-5800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $423.
Total Amount is formed as General ($423) + Research ($0) + Ownership ($0) = $423.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: PROTEGA PHARMACEUTIALS INC ($224).
Total Amount
$423
General + Research + Ownership
Payments
17
Total payment records
General Amount
$423
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PROTEGA PHARMACEUTIALS INC | $224 |
| PFIZER INC. | $56 |
| Merck Sharp & Dohme LLC | $50 |
| Lilly USA, LLC | $35 |
| UCB, Inc. | $26 |
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: 2011-12-03
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 |
|---|---|---|---|---|
| I20111203000173 | I | Internal Medicine | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Diagnostic Radiology | KS | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
Reviews
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