MICHAEL OTTO (PA-C) – Surgical Physician Assistant, NPI 1639168891

MICHAEL OTTO (PA-C) is a healthcare provider. based in Lima, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50001888 (OH). The NPI Number for MICHAEL OTTO (PA-C) is 1639168891

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL OTTO (PA-C)
NPI
1639168891
Phone
(419) 996-4011
Address
730 W MARKET ST STE 2K
Enumeration Date
19 October 2005
Last Update Date
5 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4199984477
Graduation Year
2008 (18 years ago)
PAC ID
6305829417
Group Practice PAC ID
1254232184
Professional Enrollment ID
I20040610000289
Address ID
OH458042800LI1001XAVEX302
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

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for MICHAEL OTTO (PA-C)

  • West Market Street, Lima, Allen County, Ohio, 45801:45807, United States

    LIMA, OH 458014602

    Phone: (419) 996-4011

    Fax: (419) 996-4012

    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)

CMS reports 38 Open Payments records for all available years, with a total value of $622.

Total Amount is formed as General ($622) + Research ($0) + Ownership ($0) = $622.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($76).

Total Amount

$622

General + Research + Ownership

Payments

38

Total payment records

General Amount

$622

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2004-06-10

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
I20040610000289IPhysician AssistantOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3027$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 45801)

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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: 1254232184View full group profile
NameSpecialtyState
Radiation OncologyOH
-OH
Family PracticeOH
Physician AssistantOH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Internal MedicineOH
Colorectal Surgery (Proctology)OH
Physician AssistantOH

Reviews

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Frequently asked questions

What is MICHAEL OTTO (PA-C)'s NPI number?
MICHAEL OTTO (PA-C)'s NPI is 1639168891 — the number used across U.S. healthcare to identify this provider.
Is MICHAEL OTTO (PA-C) shown as active in public data?
Registry records indicate MICHAEL OTTO (PA-C) maintains an active NPI.
What expertise is attributed to MICHAEL OTTO (PA-C)?
MICHAEL OTTO (PA-C)'s specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAEL OTTO (PA-C)?
Travel planning: use Lima, Ohio as the reference point for MICHAEL OTTO (PA-C), then confirm.
Can I trust this NPI listing for MICHAEL OTTO (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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