Active NPI 1255452124 Individual Practitioner Male Practitioner

Dr. Wael Mohammad Otaibi , DO

Surgery • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Dr. Wael Otaibi, DO is a registered healthcare professional specializing in Surgery in Decatur, IL. Practice services are available at 1770 E LAKE SHORE DR STE 105 under active NPI credentials.

Frequently performed procedures and clinical services include ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, established patient outpatient office visit, destruction of insufficient vein of arm or leg, accessed through the skin. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1770 E Lake Shore Dr Ste 105

Decatur, IL 625213800

Telephone 2173291000

Fax 2173291055

Associated Practice Facility / Clinic

🏢 Prairie Cardiovascular Consultants Ltd Facility NPI 1982714218

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Decatur, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.1 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

18 Specialists

Practicing in Decatur, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.9% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	105	39	$525.00	$119.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	37	$275.00	$57.15
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	60	26	$4400.00	$1063.93
93970 Ultrasound study of arm or leg veins with compression and maneuvers	49	46	$625.00	$185.57
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	33	24	$5800.00	$1416.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$150.00	$114.70
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$375.00	$91.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	134	47	$525.00	$124.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	44	$275.00	$58.66
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	82	32	$5800.00	$1414.91
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	43	21	$4400.00	$1032.45
99213 Established patient office or other outpatient visit, typically 15 minutes	37	21	$375.00	$92.05
93970 Ultrasound study of arm or leg veins with compression and maneuvers	32	31	$625.00	$188.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$150.00	$114.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	102	34	$198.00	$101.65
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	79	37	$525.00	$126.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	36	$272.54	$57.85
93970 Ultrasound study of arm or leg veins with compression and maneuvers	53	52	$625.00	$198.70
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	46	23	$4400.00	$1323.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$387.00	$197.15
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$346.76	$93.89
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	31	21	$5800.00	$1533.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$150.00	$116.85
36471 Injection of chemical agent into multiple incompetent veins of leg	27	21	$600.00	$223.77
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	21	$420.00	$59.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$200.20	$128.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$373.00	$171.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	165	54	$138.00	$72.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	156	50	$198.00	$105.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	91	88	$387.00	$204.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$203.00	$106.84
99213 Established patient office or other outpatient visit, typically 15 minutes	47	41	$135.00	$74.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	24	$1174.00	$110.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$264.00	$139.29
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$773.00	$176.36
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1353.00	$179.70
47562 Removal of gallbladder using an endoscope	11	11	$2590.00	$696.53
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$195.00	$103.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	209	70	$141.37	$71.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	74	$205.00	$102.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	39	$77.97	$39.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	41	$269.57	$135.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$208.56	$105.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$82.91	$43.44
43246 Insertion of stomach tube using a flexible endoscope	15	15	$515.00	$178.09
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$140.57	$72.06
47562 Removal of gallbladder using an endoscope	14	14	$1778.00	$668.82
76937 Ultrasonic guidance for blood vessel access	13	13	$29.00	$14.47
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$548.00	$86.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	178	69	$78.00	$38.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	115	51	$142.00	$71.32
99221 Initial hospital inpatient care per day, typically 30 minutes	82	76	$200.00	$99.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	41	$205.00	$102.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	25	$83.00	$41.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$209.00	$98.49
76937 Ultrasonic guidance for blood vessel access	25	25	$29.00	$14.26
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	23	23	$38.00	$18.43
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	22	22	$548.00	$97.38
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	11	11	$1811.00	$261.59
47562 Removal of gallbladder using an endoscope	11	11	$1667.36	$656.91
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2712.00	$338.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	408	146	$142.00	$70.43
99221 Initial hospital inpatient care per day, typically 30 minutes	119	112	$200.00	$99.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	39	$78.00	$36.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	25	$83.00	$41.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$209.00	$97.99
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	27	26	$38.00	$18.09
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$141.00	$68.39
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	22	20	$548.00	$120.97
76937 Ultrasonic guidance for blood vessel access	22	21	$29.00	$14.23
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	17	17	$1811.00	$245.44
99219 Hospital observation care, typically 50 minutes	15	15	$267.00	$126.01
47562 Removal of gallbladder using an endoscope	11	11	$1599.00	$542.95

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036150787

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NY 254927

Surgery

NUCC Taxonomy Code: 208600000X

State License MI 5101015634

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 34.011232

Secondary Practice Locations

1050 Isaac Streets Dr, Suite 134

Oregon, OH 436163291

Phone: 4197202242

207 S Pine St

Shelbyville, IL 625651749

Phone: 2174641200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Dr. Micheal Young , MD

Surgery

NPI 1033214994

Doctor of Medicine (M.D.)

Dr. Jignesh Modi , MD

Internal Medicine - Infectious Disease

NPI 1184935074

Doctor of Medicine (M.D.)

Dr. Manoj Kohli , MD

Internal Medicine - Rheumatology

NPI 1215948146

Doctor of Medicine (M.D.)

Emily Artime , PA

Physician Assistant

NPI 1255560629

Physician Assistant

Dr. Aftab Jafri , MD

Surgery

NPI 1255696605

Doctor of Medicine (M.D.)

Dr. Douglas Maibenco , MD PHD

Surgery

NPI 1366424061

MDPHD

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location November 15, 2019

Registered at 1770 E LAKE SHORE DR STE 105, DECATUR, IL 625213800 (Tel: 2173291000)

📍

Updated Business Mailing Address November 15, 2019

Registered at 3051 HOLLIS DR FL 2, SPRINGFIELD, IL 627047452 (Tel: 2175235432)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2019

Surgery (License #34.011232 in OH)

📍

Updated Business Mailing Address January 23, 2019

Registered at 4235 SECOR RD, TOLEDO, OH 436234231 (Tel: 5675850223)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2019

Surgery (License #254927 in NY)

✅

NPI Profile Active March 12, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 12, 2014

Registered at 1050 ISAAC STREETS DR, SUITE 134, OREGON, OH 436163291 (Tel: 4197202242)

📍

Updated Business Mailing Address March 12, 2014

Registered at 1050 ISAAC STREETS DR, SUITE 134, OREGON, OH 436163291 (Tel: 4197202242)

👤

Provider Name / Credentials Updated March 12, 2014

Recorded as WAEL OTAIBI, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2014

Surgery (License #34.011232 in OH)

🟢

Initial NPI Registration & Enumeration April 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255452124

Entity Type:

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

Enumeration Date: April 02, 2007

Last Update: November 15, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3051 Hollis Dr Fl 2

Springfield, IL 627047452

Phone: 2175235432

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.