JAMES M OTTO (M.D.) – Internal Medicine Physician, NPI 1477690766
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for JAMES M OTTO (M.D.)
1204 N MOUND ST
NACOGDOCHES, TX 759614027
Phone: (936) 568-8425
Type: Mailing
1002 N MOUND ST
NACOGDOCHES, TX 759614437
Phone: (936) 560-3800
Fax: (936) 205-4359
Type: Location
Macarthur Drive, Waco, McLennan County, Texas, 76708, United States
WACO, TX 767083159
Phone: (254) 202-7130
Fax: (254) 202-6510
Type: Mailing
1018 N MOUND ST STE 202
NACOGDOCHES, TX 759614434
Phone: (936) 568-8425
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $410.
Total Amount is formed as General ($410) + Research ($0) + Ownership ($0) = $410.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($160).
Total Amount
$410
General + Research + Ownership
Payments
16
Total payment records
General Amount
$410
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $160 |
| Novo Nordisk Inc | $56 |
| Amgen Inc. | $46 |
| Dexcom, Inc. | $42 |
| GlaxoSmithKline, LLC. | $38 |
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: 2010-10-20
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 |
|---|---|---|---|---|
| I20101020000938 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 341 | 156 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 130 | 81 | $0 |
| 81002 | Urinalysis, manual test | 33 | 25 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 31 | 27 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 75961)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | TX | |
| Hospitalist, Internal Medicine | TX | |
| Internal Medicine | TX | |
| Family Practice | TX | |
| N E U R O L O G Y | TX | |
| Nurse Practitioner | OK |
Reviews
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