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Active NPI 1518954999 Individual Practitioner Female Practitioner

Dr. Mayumi Otsuka , MD

Pediatrics • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Dr. Mayumi Otsuka, MD is a registered healthcare professional specializing in Pediatrics in Gallup, NM. Practice services are available at 516 EAST NIZHONI BLVD under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with straightforward medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

516 East Nizhoni Blvd

Gallup, NM 873011337

Telephone 5057221000
Fax 5057221268
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
22 Specialists

Practicing in Gallup, NM (471 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.0% 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 (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes
40 18 $148.00 $54.71

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VT 0420010593

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
24559342 (CO)
Medicaid State Provider ID
811457 (AZ)
Medicaid State Provider ID
63139324 (NM)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Johanna Palmgren

Registered Nurse - Administrator

NPI 1003001314
Sandra Skeets , RN

Registered Nurse - Ambulatory Care

NPI 1003009945

Registered Nurse

Jennifer Moore , RN, BSN

Registered Nurse - Medical-Surgical

NPI 1003016460

Registered Nurse, Bachelor of Science in Nursing

Sally Kaufman , RN

Registered Nurse

NPI 1003110537

Registered Nurse

Nancy Davis , RN

Registered Nurse

NPI 1003184201

Registered Nurse

Lorraine Cabrillas , RN

Registered Nurse - Emergency

NPI 1003372004

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2016

Registered at 516 EAST NIZHONI BLVD, GALLUP, NM 873011337 (Tel: 5057221000)

📍
Updated Business Mailing Address April 29, 2016

Registered at P.O. BOX 1337, GALLUP, NM 873051337 (Tel: 5057221000)

👤
Provider Name / Credentials Updated April 29, 2016

Recorded as MAYUMI OTSUKA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2016

Pediatrics (License #0420010593 in VT)

🟢
Initial NPI Registration & Enumeration September 30, 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: 1518954999
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2005
Last Update: April 29, 2016
Sole Proprietor: No

Mailing Address

P.o. Box 1337

Gallup, NM 873051337

Phone: 5057221000

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.