BONNIE KAYE OTTO (PA-C) – Physician Assistant, NPI 1053428177

BONNIE KAYE OTTO (PA-C) is a healthcare provider. based in Sewickley, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA052252 (PA). The NPI Number for BONNIE KAYE OTTO (PA-C) is 1053428177

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE KAYE OTTO (PA-C)
NPI
1053428177
Phone
(412) 749-9694
Address
305 TIMBER LN
Enumeration Date
24 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362392711
Graduation Year
2005 (21 years ago)
PAC ID
2264508506
Group Practice PAC ID
8820016207
Professional Enrollment ID
I20200504002067
Address ID
MO630802306SU1326XRDXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

Loading map...

Provider Addresses for BONNIE KAYE OTTO (PA-C)

  • 305 TIMBER LN

    SEWICKLEY, PA 151438952

    Phone: (412) 749-9694

    Type: Mailing

  • Quaker Village Shopping Center, Quaker Village, Shields, Leetsdale, Allegheny County, Pennsylvania, 15056, United States

    SUITE 2A

    LEETSDALE, PA 15056

    Phone: (412) 741-2700

    Fax: (412) 741-9766

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,363.

Total Amount is formed as General ($1,363) + Research ($0) + Ownership ($0) = $1,363.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($135).

Total Amount

$1,363

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,363

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2020-05-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080910000184IPhysician AssistantPATBD
I20200504002067IPhysician AssistantMOTBD

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 minutes194122$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4843$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report4738$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 15143)

Loading plans...

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: 8820016207View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerKS
Nurse PractitionerMO
Cardiovascular Disease (Cardiology), Internal MedicineMO
Nurse PractitionerMO
-MO
Internal Medicine, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal MedicineMO
Nurse PractitionerMO
-MO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up BONNIE KAYE OTTO (PA-C) by NPI?
Use NPI 1053428177 when you need to reference BONNIE KAYE OTTO (PA-C) in forms, claims, or directories.
Is BONNIE KAYE OTTO (PA-C)'s NPI currently valid?
The extract we use shows BONNIE KAYE OTTO (PA-C) as active.
Can you summarize BONNIE KAYE OTTO (PA-C)'s specialty in plain language?
Clinically, the directory lists BONNIE KAYE OTTO (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place BONNIE KAYE OTTO (PA-C)?
The snapshot lists Sewickley, Pennsylvania for BONNIE KAYE OTTO (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

MR. SHAY JONES (P.A.-C)

Physician Assistant
4390 CAMPBELLS RUN RD
NPI: 1417954736

JAMIE LYNN DUNN (PA-C)

Physician Assistant
111 HAZEL LN
NPI: 1730109737

SUSAN TERESA MORAN (PA-C)

Physician Assistant
54 WAGNER DR
NPI: 1760497242

MRS. TERESA BERTONI (PA-C)

Physician Assistant
Heritage Valley Sewickley, 720, Blackburn Road, Sewickley, Allegheny County, Pennsylvania, 15143, United States
NPI: 1336253434

ERIC BEGLY (PAC)

Physician Assistant
100, Delafield Road, Lincoln-Lemington-Belmar, Aspinwall, Allegheny County, Pennsylvania, 15215, United States
NPI: 1023115268

MIKHAIL V DOMNINE (PA)

Physician Assistant
Ohio River Boulevard, Sewickley, Allegheny County, Pennsylvania, 15108, United States
NPI: 1659453454

LAURA J SILVERMAN (PA-C)

Physician Assistant
301, Ohio River Boulevard, Sewickley, Allegheny County, Pennsylvania, 15143, United States
NPI: 1124189022

KELLY PRIMROSE CAMERON (PA)

Physician Assistant
1000 WATERDAM PLAZA DR
NPI: 1306988191

CAROL A. EARL (PA-C)

Medical Physician Assistant
3705, Fifth Avenue, North Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States
NPI: 1639351281