David Hardison Otto, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD26136 Issued in ME

Practice address

49 Hooper St
Wiscasset, ME 04578-4053

Phone

(207) 882-7911

NPI assigned

Aug 24, 2006

Last updated

Aug 16, 2024By the provider in NPPES

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, ME2 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

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• The Floating Hospital Inc.

  • Federally Qualified Health Center (FQHC)
  • Long Island City, NY
  • NPI 1306954631
  Medicare reassignment NPD
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  NPD
• Mainehealth

  dba Mid Coast Medical Group

  • Multi-Specialty Clinic/Center
  • Brunswick, ME
  • NPI 1902422561
  NPD
• The Floating Hospital Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1275946550
  NPD

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1831206903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W 106TH ST",
            "address_2": "APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253484",
            "telephone_number": "917-647-9828",
            "fax_number": "718-784-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HOOPER ST",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784053",
            "telephone_number": "207-882-7911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41-40 27th St.",
            "address_2": "The Floating Hospital",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "11101",
            "country_code": "US",
            "telephone_number": "718-784-2240 x135",
            "fax_number": "718-784-0240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "592 W Main St",
            "address_purpose": "LOCATION",
            "city": "Waldoboro",
            "state": "ME",
            "postal_code": "045726030",
            "country_code": "US",
            "telephone_number": "207-832-6394",
            "fax_number": "207-832-4392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTO",
        "first_name": "DAVID",
        "middle_name": "HARDISON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "228128",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD26136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mainehealth (MaineHealth Primary Care)
• Charles Robert May, LCSW
• Kathleen Rose Mazuroski, MOTRL
• Colin McClure, PA
• Miles Memorial Hospital, Inc. (MMG Wiscasset)
• Elsa Whittington Parson, FNP
• Janet D Proulx
• Mary S Rafter, FNP
• Stephen D. Reed, M.D.
• Sarah H Robey, PA

• Internal Medicine Physician in Wiscasset, ME
• Providers in Wiscasset, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.