Active NPI 1205997244 Individual Practitioner Female Practitioner

Dr. Susan E. Otero , MD

General Practice • Wilmington, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Susan Otero, MD is a certified General Practice practicing in Wilmington, DE. With approximately 46 years of clinical experience since graduating from George Washington University School Of Medicine in 1980, Dr. Otero delivers high-quality medical care to the local community at 251 LITTLE FALLS DR.

Dr. Otero is affiliated with Skilled Facility Health Care Solutions Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, initial nursing facility care with moderate level of 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

251 Little Falls Dr

Wilmington, DE 198081674

Telephone 3104455999

Associated Practice Facility / Clinic

🏢 Toocheck Mobile De Opt Llc Facility NPI 1104397959

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Wilmington, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +11.7 yrs vs City Avg

City Avg: 34.3 Yrs

State Avg: 35.8 Yrs

Regional Practice Density

27 Specialists

Practicing in Wilmington, DE (55 Statewide)

Telehealth Adoption Rate

3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

4.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Otero (46 Years) 46 Yrs

Wilmington Specialty Average (34.3 Years) 34.3 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,703	378	$127.05	$121.84
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	484	130	$180.94	$175.26
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	250	248	$156.95	$152.71
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	129	42	$283.76	$266.75
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	127	22	$160.20	$145.49
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	113	98	$88.25	$86.17
11044 Removal of bone, 20.0 sq cm or less	105	28	$375.69	$365.27
99306 Initial nursing facility visit, typically 45 minutes per day	63	62	$212.06	$204.36
11042 Removal of skin and tissue, 20.0 sq cm or less	21	15	$161.12	$152.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,256	462	$119.68	$114.24
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	683	183	$178.86	$168.69
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	268	265	$152.97	$143.96
99306 Initial nursing facility visit, typically 45 minutes per day	151	151	$209.55	$199.40
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	118	51	$275.41	$246.53
11044 Removal of bone, 20.0 sq cm or less	74	22	$359.80	$342.36
17250 Application of chemical to stop tissue regrowth in wound	64	12	$97.31	$88.73
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	40	13	$88.57	$83.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	35	27	$84.56	$79.51
11042 Removal of skin and tissue, 20.0 sq cm or less	33	28	$152.71	$132.01
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	33	13	$191.04	$142.29
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	20	20	$249.93	$222.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,244	489	$106.91	$98.69
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	291	94	$157.85	$145.09
11047 Removal of bone, each additional 20.0 sq cm or less	180	19	$143.25	$135.15
99306 Initial nursing facility visit, typically 45 minutes per day	152	152	$191.81	$177.71
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	149	149	$155.07	$142.26
11044 Removal of bone, 20.0 sq cm or less	117	31	$373.00	$351.66
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	102	19	$86.18	$82.28
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	100	41	$283.50	$250.58
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	61	38	$85.01	$77.71
11042 Removal of skin and tissue, 20.0 sq cm or less	41	24	$154.79	$127.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,185	263	$107.63	$99.55
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	316	125	$85.59	$78.21
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	183	59	$157.16	$146.04
11047 Removal of bone, each additional 20.0 sq cm or less	143	18	$147.69	$138.16
99306 Initial nursing facility visit, typically 45 minutes per day	108	107	$189.93	$177.50
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	107	16	$88.66	$83.92
11044 Removal of bone, 20.0 sq cm or less	75	28	$387.01	$360.35
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	74	74	$158.98	$145.38
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	71	29	$292.93	$243.20
11042 Removal of skin and tissue, 20.0 sq cm or less	31	14	$160.35	$109.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,522	303	$112.30	$102.93
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,462	337	$85.52	$78.26
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	804	186	$54.60	$49.09
11047 Removal of bone, each additional 20.0 sq cm or less	351	26	$158.29	$144.67
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	318	71	$166.80	$152.11
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	307	306	$159.07	$145.52
11044 Removal of bone, 20.0 sq cm or less	206	34	$404.06	$369.35
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	140	34	$95.42	$86.72
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	135	54	$300.96	$241.76
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	108	107	$111.76	$100.48
11042 Removal of skin and tissue, 20.0 sq cm or less	64	25	$164.35	$135.11
99306 Initial nursing facility visit, typically 45 minutes per day	46	46	$204.33	$187.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	1,410	394	$53.15	$47.80
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	673	184	$82.36	$73.84
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	474	469	$108.43	$97.48
11047 Removal of bone, each additional 20.0 sq cm or less	179	26	$151.05	$138.65
11044 Removal of bone, 20.0 sq cm or less	160	51	$384.01	$349.67
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	129	57	$283.53	$233.06
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	128	56	$110.80	$99.72
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	98	26	$91.01	$82.25
11042 Removal of skin and tissue, 20.0 sq cm or less	84	37	$153.93	$131.45
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	57	57	$156.74	$137.85
17250 Application of chemical to stop tissue regrowth in wound	23	11	$104.68	$92.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	75	42	$80.00	$42.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	75	51	$54.00	$24.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	52	20	$78.13	$74.28
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	42	22	$50.20	$47.86
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	41	23	$771.00	$259.44
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	41	41	$103.34	$97.86
99201 New patient office or other outpatient visit, typically 10 minutes	24	24	$100.00	$51.33
15003 Preparation of graft site at trunk, arms, or legs	16	12	$242.00	$52.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	207	104	$49.00	$23.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	206	90	$87.21	$43.17
99201 New patient office or other outpatient visit, typically 10 minutes	66	66	$92.00	$50.27
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	52	42	$647.00	$260.04
15003 Preparation of graft site at trunk, arms, or legs	33	18	$156.67	$52.08
15734 Creation of muscle graft to trunk	31	13	$3794.13	$1123.29
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	26	24	$853.31	$286.55
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	24	15	$200.58	$85.11
15936 Removal of pressure sore at sacrum in preparation of muscle flap or skin graft	19	17	$2567.11	$1006.09
15946 Removal of pressure sore and lower pelvic bone in preparation of muscle flap or skin graft closure	14	12	$4539.00	$1720.25
11044 Removal of bone, 20.0 sq cm or less	11	11	$904.64	$261.79

Medical Specialties & State Licenses

CMS Verified: 2023-05-25

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License DE C1-0025325

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License DC MD14270

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

528271300 (MD)

Medicaid State Provider ID

25544400 (DC)

Hospital & Practice Group Affiliations

Skilled Facility Health Care Solutions Inc

919 N Market St, Wilmington, DE 198013036

Phone: 3104455999

Skilled Facility Health Care Solutions Inc

100 Shockoe Slip, Richmond, VA 232194100

Phone: 3104455999

Secondary Practice Locations

106 Irving St Nw, Pob 420 South

Washington, DC 200102927

Phone: 2028773300

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. Jason Aguirre , MD

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Doctor of Medicine (M.D.)

Dr. Gerald Searle , DO

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Doctor of Osteopathic Medicine (D.O.)

Dr. Aaron Li , MD

General Practice

NPI 1053000992

Doctor of Medicine (M.D.)

Dr. Timothy Onyiuke , MD

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NPI 1093102782

Doctor of Medicine (M.D.)

Dr. Rick Mai , MD

Surgery

NPI 1134363377

Doctor of Medicine (M.D.)

Dr. Aaron Chance , MD

General Practice

NPI 1275061707

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 25, 2023

Registered at 251 LITTLE FALLS DR, WILMINGTON, DE 198081674 (Tel: 3104455999)

📍

Updated Business Mailing Address May 25, 2023

Registered at 3746 FOOTHILL BLVD STE B140, GLENDALE, CA 912141740 (Tel: 3104455999)

✅

NPI Profile Active March 14, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2012

Registered at 106 IRVING ST NW, POB 420 SOUTH, WASHINGTON, DC 200102927 (Tel: 2028773300)

📍

Updated Business Mailing Address March 14, 2012

Registered at PO BOX 418498, BOSTON, MA 022418498 (Tel: 7035581544)

👤

Provider Name / Credentials Updated March 14, 2012

Recorded as SUSAN OTERO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2012

Plastic Surgery (License #MD14270 in DC)

🟢

Initial NPI Registration & Enumeration December 13, 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: 1205997244

Entity Type:

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

Enumeration Date: December 13, 2006

Last Update: May 25, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3746 Foothill Blvd Ste B140

Glendale, CA 912141740

Phone: 3104455999

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.