Active NPI 1821541905 Individual Practitioner Female Practitioner

Mary Otteman , PA

Physician Assistant • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Otteman, PA is a certified Physician Assistant practicing in Omaha, NE. With approximately 10 years of clinical experience since completing medical education in 2016, Mary Otteman delivers high-quality medical care to the local community at 16910 FRANCES ST.

Mary Otteman is affiliated with Mod Dermatology Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16910 Frances St

Omaha, NE 681302398

Telephone 4025058777

Fax 4029337767

Associated Practice Facility / Clinic

🏢 Mod Dermatology Pc Facility NPI 1982105425

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Omaha, NE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -1.8 yrs vs City Avg

City Avg: 11.8 Yrs

State Avg: 14.6 Yrs

Regional Practice Density

552 Specialists

Practicing in Omaha, NE (1366 Statewide)

Telehealth Adoption Rate

12.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Otteman (10 Years) 10 Yrs

Omaha Specialty Average (11.8 Years) 11.8 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
17003 Destruction of precancer skin growth, 2-14 growths	193	24	$20.00	$5.20
99213 Established patient office or other outpatient visit, typically 15 minutes	93	69	$245.00	$70.50
11102 Tangential biopsy of single skin lesion	51	38	$275.00	$69.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	33	$340.00	$100.22
17000 Destruction of skin growth	50	31	$180.00	$38.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$295.00	$81.48
17110 Destruction of up to 14 skin growths	18	14	$300.00	$77.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	11	$790.00	$233.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$450.00	$130.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	172	29	$20.00	$5.28
99213 Established patient office or other outpatient visit, typically 15 minutes	105	80	$245.00	$70.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	40	$340.00	$100.49
17000 Destruction of skin growth	53	39	$180.00	$37.16
11102 Tangential biopsy of single skin lesion	43	32	$275.00	$69.28
11103 Biopsy of related skin growth, each additional growth	30	13	$140.00	$39.33
17110 Destruction of up to 14 skin growths	29	24	$300.00	$79.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$295.00	$87.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$450.00	$124.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	167	31	$18.00	$5.39
99213 Established patient office or other outpatient visit, typically 15 minutes	76	63	$235.00	$71.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	42	$333.00	$101.88
17000 Destruction of skin growth	50	44	$173.00	$39.13
11102 Tangential biopsy of single skin lesion	45	38	$265.00	$73.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$287.00	$88.15
17110 Destruction of up to 14 skin growths	35	26	$292.00	$86.54
11103 Biopsy of related skin growth, each additional growth	32	12	$132.00	$40.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$431.00	$132.11
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	11	$786.00	$241.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	76	14	$17.00	$5.29
99213 Established patient office or other outpatient visit, typically 15 minutes	29	18	$231.45	$73.17
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$160.00	$54.37
11102 Tangential biopsy of single skin lesion	22	19	$268.00	$83.81
17000 Destruction of skin growth	21	17	$170.00	$35.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$288.00	$89.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$432.00	$134.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	138	$160.00	$41.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$250.00	$61.66
20610 Aspiration and/or injection of fluid from large joint	16	15	$236.25	$39.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$255.00	$64.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	169	154	$160.00	$41.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$250.00	$61.22
20610 Aspiration and/or injection of fluid from large joint	29	26	$275.17	$43.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$255.00	$64.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	170	$160.00	$41.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$250.00	$60.76
20610 Aspiration and/or injection of fluid from large joint	26	23	$258.46	$40.74
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$160.00	$55.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$255.00	$63.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	64	$160.00	$40.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$250.00	$60.65
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$160.00	$53.14

Medical Specialties & State Licenses

CMS Verified: 2022-07-06

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 2023

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.

Hospital & Practice Group Affiliations

Mod Dermatology Pc

16910 Frances St, Omaha, NE 681302398

Phone: 4025058777

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Melanie Ortleb , MD

Dermatology

NPI 1154611622

Doctor of Medicine (M.D.)

Amy Price , PA-C

Physician Assistant

NPI 1245537067

Physician Assistant (Certified)

Amanda Hotovy

Physician Assistant

NPI 1275027823

Victoria Vanroy

Dermatology

NPI 1336125517

Dr. Tina Kinsley , MD

Dermatology

NPI 1598883035

Doctor of Medicine (M.D.)

Dr. Gage Rensch , MD

Dermatology

NPI 1942706650

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location July 06, 2022

Registered at 16910 FRANCES ST, OMAHA, NE 681302398 (Tel: 4025058777)

📍

Updated Business Mailing Address July 06, 2022

Registered at 16910 FRANCES ST, OMAHA, NE 681302398 (Tel: 4025058777)

📍

Updated Practice Location June 10, 2021

Registered at 2953 S 168TH ST STE 101, OMAHA, NE 681302000 (Tel: 4025058777)

📍

Updated Business Mailing Address March 01, 2021

Registered at 2953 S 168TH ST, STE 101, OMAHA, NE 681302000 (Tel: 4025596195)

✅

NPI Profile Active September 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 07, 2016

Registered at EMILE 42ND ST, OMAHA, NE 681980001 (Tel: 4025598000)

📍

Updated Business Mailing Address September 07, 2016

Registered at 988102 NEBRASKA MEDICAL CTR, OMAHA, NE 681988102 (Tel: 4025596195)

👤

Provider Name / Credentials Updated September 07, 2016

Recorded as MARY OTTEMAN, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2016

Physician Assistant (License #2023 in NE)

🟢

Initial NPI Registration & Enumeration July 26, 2016

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: 1821541905

Entity Type:

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

Enumeration Date: July 26, 2016

Last Update: July 06, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

16910 Frances St

Omaha, NE 681302398

Phone: 4025058777

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.