DENNIS E. OTTEMILLER (M.D.) – Ophthalmology Physician, NPI 1649271487

DENNIS E. OTTEMILLER (M.D.) is a healthcare provider. based in Poulsbo, Washington. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. MD17921 (OR). The NPI Number for DENNIS E. OTTEMILLER (M.D.) is 1649271487

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DENNIS E. OTTEMILLER (M.D.)
NPI
1649271487
Phone
(541) 756-2584
Address
20669 BOND RD NE
Enumeration Date
2 August 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
3607792020
Graduation Year
1987 (39 years ago)
PAC ID
3274520127
Group Practice PAC ID
6709773807
Professional Enrollment ID
I20191021003062
Address ID
WA983706525PO20669NEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

466 OPHTHALMOLOGY in WA

Provider Addresses for DENNIS E. OTTEMILLER (M.D.)

  • 20669, Bond Road Northeast, Poulsbo, Kitsap County, Washington, 98370, United States

    STE 100

    POULSBO, WA 983706525

    Phone: (541) 756-2584

    Fax: (541) 756-5783

    Type: Mailing

  • 20669 BOND RD NE STE 100

    POULSBO, WA 983706525

    Phone: (360) 779-2020

    Fax: (360) 779-3093

    Type: Location

  • Broadway Street, North Bend, Coos County, Oregon, 97459, United States

    NORTH BEND, OR 974591251

    Phone: (541) 756-2584

    Fax: (541) 756-5783

    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 $320.

Total Amount is formed as General ($320) + Research ($0) + Ownership ($0) = $320.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($118).

Total Amount

$320

General + Research + Ownership

Payments

8

Total payment records

General Amount

$320

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2019-10-21

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
I20191021003062IOphthalmologyWATBD

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 minutes526469$0
99213Established patient office or other outpatient visit, 20-29 minutes305222$0
92134Imaging of retina157140$0
92083Exam of visual field with extended testing154143$0
92133Imaging of optic nerve151147$0
View full utilization report →

Insurance plans in this area (ZIP 98370)

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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: 6709773807View full group profile
NameSpecialtyState
-WA
O P T O M E T R YWA
O P T O M E T R YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA

Reviews

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Frequently asked questions

What is DENNIS E. OTTEMILLER (M.D.)'s NPI number?
DENNIS E. OTTEMILLER (M.D.)'s NPI is 1649271487 — the number used across U.S. healthcare to identify this provider.
Is DENNIS E. OTTEMILLER (M.D.) shown as active in public data?
Registry records indicate DENNIS E. OTTEMILLER (M.D.) maintains an active NPI.
What expertise is attributed to DENNIS E. OTTEMILLER (M.D.)?
DENNIS E. OTTEMILLER (M.D.)'s specialty line reads Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DENNIS E. OTTEMILLER (M.D.)?
Directory geography for DENNIS E. OTTEMILLER (M.D.) centers on Poulsbo, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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