DR. OTONIEL DAVID PUERTO (MD) – Anesthesiology Physician, NPI 1568459667
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
285 ANESTHESIOLOGY in ME
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Provider Addresses for DR. OTONIEL DAVID PUERTO (MD)
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT
PO BOX 7291
LEWISTON, ME 042437291
Phone: (207) 777-8941
Fax: (207) 777-8800
Type: Mailing
Saint Joseph Hospital, 360, Broadway, Bangor, Penobscot County, Maine, 04402, United States
BANGOR, ME 04401
Phone: (207) 907-1430
Fax: (207) 907-3508
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.
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: 2004-08-02
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 |
|---|---|---|---|---|
| I20040802000885 | I | Anesthesiology | KY | 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 |
|---|---|---|---|---|
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 28 | 28 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 28 | 28 | $0 |
Insurance plans in this area (ZIP 04243)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| A N E S T H E S I O L O G Y | KY | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | KY | |
| - | KY | |
| - | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY |
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