Robert Otterbeck, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

288798 Issued in NY

Practice address

1041 3Rd Ave Ste 201
New York, NY 10065-8114

Phone

(212) 319-3977

NPI assigned

May 5, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

AnesthesiologyAlso: Pain Management

Education

State University of New York Downstate Medical Center, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Omni Medical of Ny PCGroup PAC ID 2062712367, 5 clinicians

East Coast Spine Joint and Sports MedicineGroup PAC ID 2365530938, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

49.46 of 100Reported as group

Quality

66.85

Improvement activities

0

Cost

70.14

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (12 of 16)

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: rotterbeck106478@nyumc.direct-ci.com
• Direct secure messaging: robertotterbeck@nslijmedgr.allscriptsdirect.net
• Direct secure messaging: dko9003@direct.nyp.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Omni Medical of Ny, PC

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1487023768
  Medicare reassignment Care Compare group NPD
• New York University

  • Otolaryngology Physician
  • New York, NY
  • NPI 1851456701
  Medicare reassignment NPD
• Richmond ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Staten Island, NY
  • NPI 1730540600
  Medicare reassignment NPD
• Sedation Vacation Perioperative Medicine PLLC

  • Specialist
  • Valley Stream, NY
  • NPI 1891235404
  Medicare reassignment NPD
• Specialty Anesthesia, PLLC

  • Anesthesiology Physician
  • Staten Island, NY
  • NPI 1003006743
  Medicare reassignment NPD
• Spine and Pain Consultant, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Staten Island, NY
  • NPI 1477792232
  Medicare reassignment NPD
• East Coast Spine Joint and Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Hoboken, NJ
  • NPI 1194904730
  Care Compare group
• Alpha Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
  • NPI 1033836093
  NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• New York University

  • Anesthesiology Physician
  • Boynton Beach, FL
  • NPI 1952392946

  Pain Medicine

  NPD
• Empire State Interventional and Endovascular Medicine PC

  • Vascular Surgery Physician
  • Cedarhurst, NY
  • NPI 1568041739
  NPD (past)
• Park East Pain Management Suite, PLLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
  • NPI 1407150980
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1487064077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W 42ND ST APT N36K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361982",
            "telephone_number": "718-490-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 3RD AVE STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658114",
            "telephone_number": "212-319-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTERBECK",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "288798",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "288798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Gerard Ottaviano, M.D.
• Sierra Claire Ottaviano
• Sybil Ottenstein
• Xiana Maria Ottenwalder, DDS
• Laura Otter, NP
• David Mark Otterburn, MD
• Linda Laverne Ottley, NP
• Janet Louise Ottmann, LMHC
• Ariana Otto
• Sarah E Otto, NP

• Interventional Pain Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.