NIKOLE R OTAHAL (PA-C) – Physician Assistant, NPI 1063989689
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for NIKOLE R OTAHAL (PA-C)
220, East Saint Mary's Street, Mathis, San Patricio County, Texas, 78368, United States
MATHIS, TX 783682643
Phone: (361) 547-5700
Type: Location
230, County Road 3101, North Orange Estates Colonia, Jim Wells County, Texas, 78372, United States
ORANGE GROVE, TX 783729681
Phone: (210) 835-8451
Type: Mailing
601 TEXAN TRL STE 300
CORPUS CHRISTI, TX 784112549
Phone: (361) 854-0811
Type: Location
5917 CROSSTOWN EXPRESSWAY SH 286
CORPUS CHRISTI, TX 78417
Phone: (361) 854-0811
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,170.
Total Amount is formed as General ($1,170) + Research ($0) + Ownership ($0) = $1,170.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,012).
Total Amount
$1,170
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $1,012 |
| Davol Inc. | $125 |
| Paragon 28, Inc. | $34 |
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: 2021-07-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210719001815 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| J7332 | Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg | 2,700 | 34 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 601 | 93 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 257 | 118 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 236 | 182 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 155 | 104 | $0 |
Insurance plans in this area (ZIP 78368)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Sports Medicine | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery, Hand Surgery | TX | |
| - | TX | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| Nurse Practitioner | TX |
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