Active NPI 1255375903 Individual Practitioner Male Practitioner

Charles Daniel Otero , PA

Physician Assistant • Clovis, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Charles Otero, PA is a certified Physician Assistant practicing in Clovis, NM. With approximately 34 years of clinical experience since completing medical education in 1992, Charles Otero delivers high-quality medical care to the local community at 701 ARIZONA ST.

Charles Otero accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, blood glucose (sugar) test performed by hand-held instrument. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

701 Arizona St
Suite A

Clovis, NM 881012110

Telephone 5757423033

Fax 5757421133

Associated Practice Facility / Clinic

🏢 Integrative Health Partners Llc Facility NPI 1053297747

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clovis, NM

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +17.3 yrs vs City Avg

City Avg: 16.7 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Clovis, NM (865 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Otero (34 Years) 34 Yrs

Clovis Specialty Average (16.7 Years) 16.7 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	387	41	$364.00	$132.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	353	36	$259.00	$89.91

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	402	40	$259.00	$87.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	316	47	$364.00	$132.70
81003 Automated urinalysis test	50	15	$19.00	$1.85
82962 Blood glucose (sugar) test performed by hand-held instrument	38	12	$18.00	$2.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	401	48	$340.08	$145.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	35	$237.26	$96.78
82962 Blood glucose (sugar) test performed by hand-held instrument	34	14	$17.29	$3.23
81003 Automated urinalysis test	33	12	$18.52	$2.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	383	43	$225.00	$147.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	40	$187.00	$93.04
81003 Automated urinalysis test	35	13	$15.00	$2.13
99213 Established patient office or other outpatient visit, typically 15 minutes	31	16	$124.00	$69.40

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	346	39	$187.00	$79.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	271	37	$225.00	$115.91
81003 Automated urinalysis test	42	12	$15.00	$1.99

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	231	31	$187.00	$77.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	119	27	$225.00	$116.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	162	27	$225.00	$117.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	26	$187.00	$74.49

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	125	25	$187.00	$84.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	124	23	$225.00	$109.08

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM 93-PA01

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

97903 (NM)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 27, 2016

Registered at 701 ARIZONA ST, SUITE A, CLOVIS, NM 881012110 (Tel: 5757423033)

📍

Updated Business Mailing Address December 27, 2016

Registered at 701 ARIZONA ST, SUITE A, CLOVIS, NM 881012110 (Tel: 5757423033)

👤

Provider Name / Credentials Updated December 27, 2016

Recorded as CHARLES OTERO, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2016

Physician Assistant (License #93-PA01 in NM)

🟢

Initial NPI Registration & Enumeration June 15, 2006

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: 1255375903

Entity Type:

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

Enumeration Date: June 15, 2006

Last Update: December 27, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

701 Arizona St, Suite A

Clovis, NM 881012110

Phone: 5757423033

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.