Individual provider Active NPI

Andrew J Ott, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hillsboro, IL
National Provider Identifier
1700296647
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005785 Issued in IL
Practice address
1200 E Tremont St
Hillsboro, IL 62049-1912
Phone
(217) 532-6266
NPI assigned
Apr 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005785 IL Primary

Addresses

Primary practice location

1200 E Tremont St
Hillsboro, IL 62049-1912

Mailing address

1200 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6266

Other practice location 1

797 Settles Trl
Fillmore, IL 62032-2280
Phone (217) 556-0606

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180911000223 IL Practitioner - Podiatry 8123378247 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillsboro Area Hospital, Inc.Group PAC ID 4486547148, shared by 4 NPIs, 37 clinicians

Practice addresses (Care Compare)

101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246

1200 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of nail tissue12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005785ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pana Community Hospital Association CurrentSince Sep 16, 2023 Accepting new patients
Pana Community Hospital Association CurrentSince Sep 16, 2023 Accepting new patients
Hillsboro Area Hospital, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Hillsboro Area Hospital, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Pana Community Hospital Association Current Accepting new patients
Hillsboro Area Hospital, Inc. Current Accepting new patients
Pana Community Hospital Association Past Accepting new patients

Locations

1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154

120 S Cedar St
Nokomis, IL 62075
Phone (217) 562-2544

217 S Locust St
Pana, IL 62557
Phone (217) 562-2143

101 E 9th St
Ste 105
Pana, IL 62557
Phone (217) 562-2544

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

103 W 6th St
Ramsey, IL 62080
Phone (217) 562-6246

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1700296647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E TREMONT ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491912",
            "telephone_number": "217-532-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E TREMONT ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491912",
            "telephone_number": "217-532-6266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "797 Settles Trl",
            "address_purpose": "LOCATION",
            "city": "Fillmore",
            "state": "IL",
            "postal_code": "620322280",
            "country_code": "US",
            "telephone_number": "217-556-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTT",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, IL

Sources for this page

Verify at the official NPI Registry.