DR. TODD RICHMOND OTTEN (M.D.) – Family Medicine Physician, NPI 1710967930

DR. TODD RICHMOND OTTEN (M.D.) is a healthcare provider. based in Charlotte, Michigan. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 4301089476 (MI). The NPI Number for DR. TODD RICHMOND OTTEN (M.D.) is 1710967930

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. TODD RICHMOND OTTEN (M.D.)
NPI
1710967930
Phone
(517) 543-1050
Address
321 E HARRIS ST
Enumeration Date
23 January 2006
Last Update Date
22 May 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5175431050
Graduation Year
2002 (24 years ago)
PAC ID
7719021526
Group Practice PAC ID
0042103509
Professional Enrollment ID
I20100217000539
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. TODD RICHMOND OTTEN (M.D.)

  • Hayes Green Beach Memorial Hospital, 321, East Harris Street, Charlotte, Eaton County, Michigan, 48813, United States

    CHARLOTTE, MI 488131629

    Phone: (517) 543-1050

    Fax: (517) 541-5870

    Type: Mailing

  • 4100 EMBASSY DR SE STE 400

    GRAND RAPIDS, MI 495462416

    Phone: (616) 988-8220

    Type: Mailing

  • 743 E BELTLINE AVE NE

    GRAND RAPIDS, MI 495256045

    Phone: (616) 888-3710

    Type: Location

  • 111, Lansing Street, Charlotte, Eaton County, Michigan, 48813, United States

    SUITE 200

    CHARLOTTE, MI 488132400

    Phone: (517) 543-5110

    Fax: (517) 543-9776

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: ABBVIE INC. ($33).

Total Amount

$59

General + Research + Ownership

Payments

2

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-02-17

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100217000539IGeneral PracticeMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1711$0
View full utilization report →

Insurance plans in this area (ZIP 48813)

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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: 0042103509View full group profile
NameSpecialtyState
-ID
Nurse PractitionerMI
Nurse PractitionerMI
A N E S T H E S I O L O G YMI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Internal MedicineMI
-MI
Osteopathic Manipulative MedicineMI
Physician AssistantOH

Reviews

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Frequently asked questions

What federal number belongs to DR. TODD RICHMOND OTTEN (M.D.)?
The federal identifier for DR. TODD RICHMOND OTTEN (M.D.) is NPI 1710967930.
Is DR. TODD RICHMOND OTTEN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. TODD RICHMOND OTTEN (M.D.) work in?
You can think of DR. TODD RICHMOND OTTEN (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. TODD RICHMOND OTTEN (M.D.)?
We surface Charlotte, Michigan for DR. TODD RICHMOND OTTEN (M.D.) based on available NPPES addresses.
What if Charlotte, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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