DEAN OTTO (MD) – Emergency Medicine Physician, NPI 1184719445

DEAN OTTO (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD058541-L (PA). The NPI Number for DEAN OTTO (MD) is 1184719445

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DEAN OTTO (MD)
NPI
1184719445
Phone
(215) 856-1010
Address
12265 TOWNSEND ROAD
Enumeration Date
4 October 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2157859200
Graduation Year
1993 (33 years ago)
PAC ID
1456442615
Group Practice PAC ID
0840415444
Professional Enrollment ID
I20070802000518
Address ID
PA190073101BR501XXRDXX300
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

3,411 EMERGENCY MEDICINE in PA

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Provider Addresses for DEAN OTTO (MD)

  • Holy Redeemer Nazareth, 12265, Townsend Road, Philadelphia, Philadelphia County, Pennsylvania, 19154, United States

    PHILADELPHIA, PA 19154

    Phone: (215) 856-1010

    Fax: (215) 698-3730

    Type: Mailing

  • Abington – Lansdale Hospital, 100, Medical Campus Drive, Lansdale, Montgomery County, Pennsylvania, 19446, United States

    LANSDALE, PA 194461259

    Phone: (215) 361-4440

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-02

PECOS data refreshed: 2026-06-15

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
I20070802000518IEmergency MedicinePATBD

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
99285Emergency department visit with high level of medical decision making2020$0
99284Emergency department visit with moderate level of medical decision making1614$0
View full utilization report →

Insurance plans in this area (ZIP 19154)

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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: 0840415444View full group profile
NameSpecialtyState
Emergency MedicineGA
General PracticeFL
Nurse PractitionerCO
Emergency MedicineNC
Internal MedicineFL
Emergency MedicineFL
General PracticeFL
Nurse PractitionerPA
Emergency Medicine, Peripheral Vascular DiseaseFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What number should I use to identify DEAN OTTO (MD) for billing?
Administrative and clinical systems typically use NPI 1184719445 for DEAN OTTO (MD).
Quick check: is DEAN OTTO (MD) active?
Public NPPES data shows DEAN OTTO (MD) with an active NPI status right now.
Which specialty label fits DEAN OTTO (MD)?
NPPES ties DEAN OTTO (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DEAN OTTO (MD)?
DEAN OTTO (MD) shows a connection to Philadelphia, Pennsylvania in registry-derived data.
Can I export DEAN OTTO (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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