DR. ALEC DAVID OTTEMAN (M.D.) – Nephrology Physician, NPI 1619138849
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
274 NEPHROLOGY in MN
Provider Addresses for DR. ALEC DAVID OTTEMAN (M.D.)
2854 HIGHWAY 55 STE 130
EAGAN, MN 551211776
Phone: (651) 224-4930
Fax: (651) 842-3391
Type: Mailing
1997 SLOAN PL STE 17
MAPLEWOOD, MN 551172051
Phone: (651) 772-6251
Fax: (651) 294-9661
Type: Location
360, Sherman Street, Saint Paul, Ramsey County, Minnesota, 55102, United States
SUITE 250
SAINT PAUL, MN 551022564
Phone: (651) 772-6251
Fax: (651) 224-9661
Type: Mailing
Hwy 55, Floyd B. Olson Memorial Highway/Hiawatha Pioneer Trail, Eagan, Dakota County, Minnesota, 55121-1542, United States
SUITE 130
EAGAN, MN 551212156
Phone: (651) 842-3378
Fax: (651) 224-5273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $160.
Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: NxStage Medical, Inc. ($93).
Total Amount
$160
General + Research + Ownership
Payments
5
Total payment records
General Amount
$160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-06-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130611000276 | I | Nephrology | MN | TBD |
| I20210616000990 | I | Nephrology | WI | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 174 | 78 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 138 | 19 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 61 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 39 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 49 | 26 | $0 |
Insurance plans in this area (ZIP 55121)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | MN | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 213 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nephrology, Internal Medicine, Nephrology | IN | |
| N E P H R O L O G Y | MN | |
| Nephrology, Internal Medicine | MN | |
| Nurse Practitioner | MN | |
| Nephrology, Internal Medicine | MN |
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