Active NPI 1306847900 Individual Practitioner Male Practitioner

Dr. Otis George Allen , MD

Plastic Surgery • Bloomington, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Otis Allen, MD is a certified Plastic Surgery practicing in Bloomington, IL. With approximately 49 years of clinical experience since completing medical education in 1977, Dr. Allen delivers high-quality medical care to the local community at 1215 HOLIDAY DR.

Dr. Allen accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1215 Holiday Dr

Bloomington, IL 617042214

Telephone 3098273881

Fax 3096610234

Associated Practice Facility / Clinic

🏢 Otis Allen Md Sc Facility NPI 1457629842

Medicare Profile & Education

Medical School

Other

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Bloomington, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +13.7 yrs vs City Avg

City Avg: 35.3 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

5 Specialists

Practicing in Bloomington, IL (236 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Allen (49 Years) 49 Yrs

Bloomington Specialty Average (35.3 Years) 35.3 Yrs

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
99213 Established patient office or other outpatient visit, typically 15 minutes	181	104	$113.00	$86.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	64	$163.00	$122.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$257.00	$160.96
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	20	19	$1890.00	$404.80
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$2206.00	$451.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	220	125	$113.00	$86.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	67	$163.00	$122.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$257.00	$160.91
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	23	22	$1890.00	$445.41
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	18	17	$2206.00	$436.49
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	11	11	$2582.00	$814.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	255	127	$113.00	$88.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	71	$163.00	$123.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$257.00	$163.11
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	21	16	$230.00	$111.06
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	17	13	$2206.00	$493.13
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	12	$177.00	$80.98
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	14	13	$1890.00	$520.15
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	14	13	$184.00	$92.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	217	119	$113.00	$89.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	75	$163.00	$126.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$257.00	$165.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	193	119	$113.00	$73.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	62	$163.00	$106.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$257.00	$162.38
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	21	13	$230.00	$119.61
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	15	13	$227.00	$115.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	278	161	$113.00	$72.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	72	$163.00	$106.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$257.00	$161.61
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	26	23	$2206.00	$558.43
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	23	16	$227.00	$105.95
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	12	12	$1890.00	$554.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	315	170	$113.00	$71.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	92	$163.00	$105.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$257.00	$163.64
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	38	33	$2206.00	$556.91
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	30	24	$227.00	$78.87
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	18	$263.00	$150.43
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	21	17	$1890.00	$526.75
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	19	16	$177.00	$89.31
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	16	14	$1516.00	$462.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$261.00	$143.15
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$230.00	$122.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	319	172	$113.00	$68.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	58	$163.00	$100.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$257.00	$154.75
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	37	26	$227.00	$72.78
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	30	26	$1890.00	$515.98
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	28	18	$230.00	$105.29
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	27	24	$2206.00	$558.30
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	26	18	$177.00	$81.23
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	19	16	$1516.00	$430.88
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	16	$263.00	$124.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$261.00	$135.71
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	18	12	$184.00	$81.66

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IL 036064804

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036064804 (IL)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 17, 2016

Registered at 1215 HOLIDAY DR, BLOOMINGTON, IL 617042214 (Tel: 3098273881)

📍

Updated Business Mailing Address August 17, 2016

Registered at 53 PRENZLER DR, BLOOMINGTON, IL 617041299 (Tel: 3092878049)

👤

Provider Name / Credentials Updated August 17, 2016

Recorded as OTIS ALLEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2016

Plastic Surgery (License #036064804 in IL)

🟢

Initial NPI Registration & Enumeration August 03, 2005

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: 1306847900

Entity Type:

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

Enumeration Date: August 03, 2005

Last Update: August 17, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

53 Prenzler Dr

Bloomington, IL 617041299

Phone: 3092878049

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.