Active NPI 1801011663 Individual Practitioner Male Practitioner

Alfred Otero , PA-C, MPAS

Physician Assistant • Lake City, FL

Professional Overview & Biography Verified Profile Summary

Alfred Otero, PA-C, MPAS is a registered healthcare professional specializing in Physician Assistant in Lake City, FL. Practice services are available at 1465 W US HIGHWAY 90 STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1465 W Us Highway 90 Ste 100

Lake City, FL 320556154

Telephone 3867552268

Fax 3862438448

Associated Practice Facility / Clinic

🏢 Baya Urgent Care Llc Facility NPI 1447688619

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lake City, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.9 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

16 Specialists

Practicing in Lake City, FL (10376 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$185.00	$105.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$185.00	$106.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$304.00	$139.71
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$123.00	$75.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	174	$185.00	$107.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	152	152	$304.00	$142.30
99213 Established patient office or other outpatient visit, typically 15 minutes	105	95	$123.00	$76.74
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	100	94	$100.00	$43.34
J1885 Injection, ketorolac tromethamine, per 15 mg	76	18	$10.00	$0.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$201.00	$95.66
81003 Automated urinalysis test	50	46	$24.00	$2.22
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	16	$57.00	$16.28
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	31	30	$28.00	$5.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	26	$49.00	$11.97
71046 X-ray of chest, 2 views	18	18	$77.00	$28.11
69209 Removal of impacted ear wax by washing	12	12	$113.00	$14.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	191	160	$123.00	$77.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	137	$185.00	$110.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	159	159	$201.00	$95.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$304.00	$143.72
J1885 Injection, ketorolac tromethamine, per 15 mg	74	18	$10.00	$0.46
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	54	53	$100.00	$45.23
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	49	46	$28.00	$5.57
71046 X-ray of chest, 2 views	39	39	$77.00	$27.98
81003 Automated urinalysis test	39	36	$24.00	$2.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	33	$49.00	$11.87
81002 Urinalysis, manual test	16	16	$20.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	291	221	$184.75	$92.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	248	248	$304.00	$141.06
71046 X-ray of chest, 2 views	44	41	$77.00	$26.21
87804 Detection test by immunoassay with direct visual observation for influenza virus	44	22	$57.00	$16.23
81003 Automated urinalysis test	42	39	$24.00	$2.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	29	$49.00	$11.97
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	28	28	$28.00	$6.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	262	208	$204.64	$91.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	187	187	$305.22	$138.62
J1885 Injection, ketorolac tromethamine, per 15 mg	71	19	$11.97	$0.60
87804 Detection test by immunoassay with direct visual observation for influenza virus	68	33	$57.00	$16.22
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	46	42	$32.30	$6.26
99213 Established patient office or other outpatient visit, typically 15 minutes	43	31	$249.32	$62.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	38	$45.20	$13.87
81003 Automated urinalysis test	36	33	$24.00	$2.44
36415 Insertion of needle into vein for collection of blood sample	32	29	$13.72	$2.94
71046 X-ray of chest, 2 views	29	28	$77.00	$24.97
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$52.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	43	$326.21	$61.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	61	$314.71	$90.66
36415 Insertion of needle into vein for collection of blood sample	47	31	$15.00	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$354.12	$137.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$379.50	$91.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	197	197	$298.05	$135.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	123	$184.06	$88.49
81003 Automated urinalysis test	46	39	$24.00	$3.02
71020 X-ray of chest, 2 views, front and side	12	11	$111.00	$22.76
87804 Detection test by immunoassay with direct visual observation for influenza virus	12	12	$57.00	$16.11

Medical Specialties & State Licenses

CMS Verified: 2020-06-12

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA 0003636

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

291002100 (FL)

Secondary Practice Locations

404 Nw Hall Of Fame Dr

Lake City, FL 320554833

Phone: 3867192540

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location June 12, 2020

Registered at 1465 W US HIGHWAY 90 STE 100, LAKE CITY, FL 320556154 (Tel: 3867552268)

📍

Updated Business Mailing Address June 12, 2020

Registered at 504 SW PACES GLN, LAKE CITY, FL 32024 (Tel: 3526720184)

✅

NPI Profile Active September 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 03, 2014

Registered at 404 NW HALL OF FAME DR, LAKE CITY, FL 320554833 (Tel: 3867192540)

📍

Updated Business Mailing Address September 03, 2014

Registered at 404 NW HALL OF FAME DR, LAKE CITY, FL 320554833 (Tel: 3867192540)

👤

Provider Name / Credentials Updated September 03, 2014

Recorded as ALFRED OTERO, PA-C, MPAS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2014

Physician Assistant (License #PA 0003636 in FL)

🟢

Initial NPI Registration & Enumeration April 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801011663

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 16, 2007

Last Update: June 12, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

504 Sw Paces Gln

Lake City, FL 32024

Phone: 3526720184

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.