Active NPI
Scott C Otto, MD
- Surgery Physician
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DR.0066919
- Practice address
- 11700 W 2ND PL Ste 210
Lakewood, CO 80228-1716 - Phone
- (720) 321-8080
- Fax
- (720) 321-8081
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036109065 | IL | |
| Surgery Physician | 208600000X | DR.0066919 | CO | Primary |
Addresses
Primary practice location
11700 W 2ND PL Ste 210
Lakewood, CO 80228-1716
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other practice location 1
360 Peak One Dr Ste 300
Frisco, CO 80443-5948
Phone (720) 321-8080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036109065 | Medicaid | IL | |
| 9000199569 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071115000258 | IL | Practitioner - General Surgery | 6800984402 |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Rush Medical College of Rush University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11700 W 2ND PL
Lakewood, CO 80228-1704
9100 E Mineral Cir
Centennial, CO 80112-3401
Hospital & facility affiliations
- St Anthony Summit Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Partners in Surgical Care LLC | Surgery | Past | Accepting new patients |
| Catholic Health Initiatives Colorado | Past | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
360 Peak One Dr
Ste 300
Frisco, CO 80443
Phone (720) 321-8460
11700 W 2nd Pl
Ste 210
Lakewood, CO 80228
Phone (720) 321-8080
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Organizations & group practices 6
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1992171219
-
- Neurological Surgery Physician
- Lakewood, CO
- NPI 1205846664
-
- General Acute Care Hospital
- Frisco, CO
- NPI 1720096092
-
- Surgery Physician
- Oakbrook Terrace, IL
- NPI 1033248927
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frisco, CO
- NPI 1720096092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1497749162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800022",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641800022",
"telephone_number": "800-953-0104",
"fax_number": "303-765-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 W 2ND PL STE 210",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281716",
"telephone_number": "720-321-8080",
"fax_number": "720-321-8081"
}
],
"practiceLocations": [
{
"address_1": "360 Peak One Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "CO",
"postal_code": "804435948",
"country_code": "US",
"telephone_number": "720-321-8080",
"fax_number": "720-321-8081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTTO",
"first_name": "SCOTT",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036109065",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "DR.0066919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036109065",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000199569",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.