Active NPI 1891763678 Individual Practitioner Male Practitioner

Todd W Otto , PA-C

Physician Assistant - Surgical • Lima, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Todd Otto, PA-C is a certified Physician Assistant - Surgical practicing in Lima, OH. With approximately 25 years of clinical experience since completing medical education in 2001, Todd Otto delivers high-quality medical care to the local community at 801 MEDICAL DR.

Todd Otto is affiliated with Mercy Health Physicians Lima Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection, methylprednisolone acetate, 80 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 Medical Dr
Suite A

Lima, OH 458044099

Telephone 4192226622

Fax 4192240015

Associated Practice Facility / Clinic

🏢 West Central Ohio Group Ltd. Facility NPI 1952385221

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Lima, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +11.5 yrs vs City Avg

City Avg: 13.5 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

34 Specialists

Practicing in Lima, OH (403 Statewide)

Telehealth Adoption Rate

2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Otto (25 Years) 25 Yrs

Lima Specialty Average (13.5 Years) 13.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$192.85	$103.22

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	58	53	$191.00	$103.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$84.00	$45.43

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	43	40	$191.00	$105.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$247.00	$139.11
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$134.00	$75.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$84.00	$46.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	38	28	$58.03	$10.76
20610 Aspiration and/or injection of fluid from large joint	36	31	$197.08	$56.89
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$192.50	$76.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$235.44	$105.24
73564 X-ray of knee, 4 or more views	27	23	$105.70	$10.36
73030 X-ray of shoulder, minimum of 2 views	18	14	$30.78	$7.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$110.00	$46.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$257.89	$140.71
73562 X-ray of knee, 3 views	17	13	$64.82	$9.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$241.54	$93.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	122	76	$35.00	$11.58
20610 Aspiration and/or injection of fluid from large joint	121	90	$205.12	$56.75
99213 Established patient office or other outpatient visit, typically 15 minutes	82	75	$195.93	$61.31
73562 X-ray of knee, 3 views	61	34	$65.16	$9.46
73564 X-ray of knee, 4 or more views	55	42	$47.02	$10.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$288.19	$88.55
73030 X-ray of shoulder, minimum of 2 views	37	31	$34.35	$8.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	31	$116.03	$37.33
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$193.58	$63.00
73502 X-ray of hip, 2-3 views	26	14	$50.23	$11.53
73501 X-ray of hip with pelvis, 1 view	25	25	$25.44	$8.81
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	19	12	$1500.00	$1183.56
27447 Replacement of knee joint, both sides of knee	17	16	$733.47	$187.73
73110 X-ray of wrist, minimum of 3 views	17	11	$23.24	$7.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	126	81	$35.00	$12.06
20610 Aspiration and/or injection of fluid from large joint	116	84	$187.07	$53.66
99213 Established patient office or other outpatient visit, typically 15 minutes	93	81	$157.00	$58.64
73564 X-ray of knee, 4 or more views	77	63	$36.29	$13.18
73562 X-ray of knee, 3 views	60	37	$59.57	$8.79
73030 X-ray of shoulder, minimum of 2 views	56	45	$26.71	$9.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	51	$232.00	$89.66
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$161.00	$62.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	40	$93.00	$34.49
27447 Replacement of knee joint, both sides of knee	27	27	$601.22	$184.88
73502 X-ray of hip, 2-3 views	22	21	$33.45	$8.67
73110 X-ray of wrist, minimum of 3 views	20	14	$28.25	$7.27
23120 Partial removal of collar bone	14	14	$256.00	$42.19
73501 X-ray of hip with pelvis, 1 view	13	13	$21.69	$8.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	118	73	$35.00	$12.98
20610 Aspiration and/or injection of fluid from large joint	114	84	$188.99	$54.03
73564 X-ray of knee, 4 or more views	85	66	$29.86	$9.69
73562 X-ray of knee, 3 views	76	46	$42.92	$8.21
99213 Established patient office or other outpatient visit, typically 15 minutes	72	64	$157.00	$58.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	49	$93.00	$35.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	47	$232.00	$88.14
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$159.60	$61.30
73030 X-ray of shoulder, minimum of 2 views	39	34	$30.03	$9.14
73502 X-ray of hip, 2-3 views	38	27	$39.03	$11.77
27447 Replacement of knee joint, both sides of knee	34	30	$601.00	$179.17
73501 X-ray of hip with pelvis, 1 view	27	26	$22.56	$7.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$233.00	$88.16
73110 X-ray of wrist, minimum of 3 views	17	15	$20.00	$7.36
73560 X-ray of knee, 1-2 views	14	12	$22.29	$8.35
27130 Replacement of thigh bone and hip joint with prosthesis	13	13	$602.00	$182.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	119	101	$181.68	$51.42
73562 X-ray of knee, 3 views	109	67	$46.94	$8.45
J1040 Injection, methylprednisolone acetate, 80 mg	108	87	$35.00	$10.88
73564 X-ray of knee, 4 or more views	67	58	$38.21	$10.37
99213 Established patient office or other outpatient visit, typically 15 minutes	65	62	$157.00	$56.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	64	$232.00	$82.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	50	$93.68	$34.10
73502 X-ray of hip, 2-3 views	54	34	$45.04	$10.38
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$161.41	$59.23
73030 X-ray of shoulder, minimum of 2 views	49	41	$23.90	$7.75
27447 Replacement of knee joint, both sides of knee	33	30	$601.00	$178.46
73110 X-ray of wrist, minimum of 3 views	26	18	$30.58	$10.31
23120 Partial removal of collar bone	21	21	$306.43	$42.07
73501 X-ray of hip with pelvis, 1 view	19	19	$27.63	$8.14
27130 Replacement of thigh bone and hip joint with prosthesis	19	17	$602.00	$178.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$233.00	$86.21
23412 Repair of chronic torn shoulder rotator cuff	12	12	$379.33	$104.87

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OH 50001718

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem

000000491275

Hospital & Practice Group Affiliations

Mercy Health Physicians Lima Specialty Care Llc

830 W High St, Lima, OH 458013988

Phone: 4192269610

Mercy Health Physicians Lima Specialty Care Llc

730 W Market St, Lima, OH 458014602

Phone: 4199962714

Mercy Health Physicians Lima Specialty Care Llc

830 W High St, Ste 207, OH 458013969

Phone: 4192269182

Mercy Health Physicians Lima Specialty Care Llc

730 W Market St, Lima, OH 458014602

Phone: 4192264310

Practice Associates & Co-Workers

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

40 Associated Practitioners

Logan Rieman , CNP

Nurse Practitioner - Family

NPI 1003446170

Certified Nurse Practitioner

Bailey Nelson

Physician Assistant

NPI 1003685405

Dr. Mark Mcdonald , MD

Orthopaedic Surgery

NPI 1003896333

Doctor of Medicine (M.D.)

Dr. Kyle Shroll , PT, DPT

Physical Therapist

NPI 1013424597

Physical Therapist, Doctor of Physical Therapy

Dr. Sean Logan , MD

Neurological Surgery

NPI 1023124377

Doctor of Medicine (M.D.)

Tanner Stippich

Physician Assistant

NPI 1053924415

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 06, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 06, 2010

Registered at 801 MEDICAL DR, SUITE A, LIMA, OH 458044099 (Tel: 4192226622)

📍

Updated Business Mailing Address April 06, 2010

Registered at 801 MEDICAL DR, SUITE A, LIMA, OH 458044099 (Tel: 4192226622)

👤

Provider Name / Credentials Updated April 06, 2010

Recorded as TODD OTTO, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2010

Physician Assistant (License #50001718 in OH)

🟢

Initial NPI Registration & Enumeration March 09, 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: 1891763678

Entity Type:

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

Enumeration Date: March 09, 2006

Last Update: April 06, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 Medical Dr, Suite A

Lima, OH 458044099

Phone: 4192226622

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.