Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225998271 Individual Practitioner Male Practitioner

Mark Risen Otstot

Physician Assistant • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Mark Otstot is a certified Physician Assistant practicing in Roanoke, VA. With approximately 1 years of clinical experience since completing medical education in 2025, Mark Otstot delivers high-quality medical care to the local community at 1906 BELLEVIEW AVE SE.

Mark Otstot does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1906 Belleview Ave Se

Roanoke, VA 240141838

Telephone 5409817000
Associated Practice Facility / Clinic
🏢 Carilion Medical Center Facility NPI 1033102942

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roanoke, VA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -7.4 yrs vs City Avg
City Avg: 8.4 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
301 Specialists

Practicing in Roanoke, VA (4432 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Otstot (1 Years) 1 Yrs
Roanoke Specialty Average (8.4 Years) 8.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110011626

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Alfred Shilling , MD

Radiology - Diagnostic Radiology

NPI 1003029620

Doctor of Medicine (M.D.)

John Thompson , PA-C, ATC

Physician Assistant

NPI 1003176108

Physician Assistant (Certified), Certified Athletic Trainer

Dr. James Light , MD

Anesthesiology

NPI 1003234949

Doctor of Medicine (M.D.)

NPI 1003260373

Doctor of Medicine (M.D.)

NPI 1003348848

Doctor of Medicine (M.D.)

Dr. Nima Jahromi , DO

Student in an Organized Health Care Education/Training Program

NPI 1003504184

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address March 25, 2026

Registered at 213 S JEFFERSON ST STE 1006, ROANOKE, VA 240111713 (Tel: 5402245516)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2026

Physician Assistant (License #0110011626 in VA)

NPI Profile Active November 13, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2025

Registered at 1906 BELLEVIEW AVE SE, ROANOKE, VA 240141838 (Tel: 5409817000)

📍
Updated Business Mailing Address November 13, 2025

Registered at 3730 INGLESIDE BLVD APT 6402, LADSON, SC 294564453 (Tel: 7064694782)

👤
Provider Name / Credentials Updated November 13, 2025

Recorded as MARK OTSTOT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 13, 2025

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: 1225998271
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2025
Last Update: March 25, 2026
Sole Proprietor: No

Mailing Address

213 S Jefferson St Ste 1006

Roanoke, VA 240111713

Phone: 5402245516

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.