DR. KENNETH ALAN JR. OTTO (MD) – Ophthalmology Physician, NPI 1164403838

DR. KENNETH ALAN JR. OTTO (MD) is a healthcare provider. based in Muskegon, Michigan. specializing in Ophthalmology Physician. They hold the professional credentials MD. They hold a License No. 4301403805 (MI). The NPI Number for DR. KENNETH ALAN JR. OTTO (MD) is 1164403838

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH ALAN JR. OTTO (MD)
NPI
1164403838
Phone
(231) 739-9009
Address
1266 E SHERMAN BLVD
Enumeration Date
9 November 2005
Last Update Date
12 October 2020

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2317399009
Graduation Year
1983 (43 years ago)
PAC ID
3375507338
Group Practice PAC ID
3678537628
Professional Enrollment ID
I20120416000056
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KENNETH ALAN JR. OTTO (MD)

  • 1266, East Sherman Boulevard, Norton Shores, Muskegon Township, Muskegon County, Michigan, 49444, United States

    MUSKEGON, MI 494441847

    Phone: (231) 739-9009

    Fax: (231) 733-0566

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 49444)

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Provider's Procedures

DR. KENNETH ALAN JR. OTTO (MD) performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMI92012Eye and medical examination for diagnosis and treatment, established patient349275
OPHTHALMOLOGYMI92083Measurement of field of vision during daylight conditions225210
OPHTHALMOLOGYMI92134Diagnostic imaging of retina7472

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: 3678537628View full group profile
NameSpecialtyState
O P T O M E T R YMI
-MI
-MI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
-MI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KENNETH ALAN JR. OTTO (MD)'s NPI?
Yes. DR. KENNETH ALAN JR. OTTO (MD) is listed with NPI 1164403838 in the public NPI dataset.
Does CMS list DR. KENNETH ALAN JR. OTTO (MD) as active?
Yes — DR. KENNETH ALAN JR. OTTO (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. KENNETH ALAN JR. OTTO (MD)?
For research purposes, treat DR. KENNETH ALAN JR. OTTO (MD) as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. KENNETH ALAN JR. OTTO (MD) serve?
DR. KENNETH ALAN JR. OTTO (MD)'s listing highlights Muskegon, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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