Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154565273 Individual Practitioner Male Practitioner

Dr. Samuel James Otto , MD

Urology • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Otto, MD is a registered healthcare professional specializing in Urology in Milwaukee, WI. Practice services are available at 2424 S 90TH ST under active NPI credentials.

Frequently performed procedures and clinical services include outpatient office visit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2424 S 90th St
Suite 408

Milwaukee, WI 532272455

Telephone 4143852716
Associated Practice Facility / Clinic
🏢 Ent Surgical Associates Pc Facility NPI 1497924229

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
56 Specialists

Practicing in Milwaukee, WI (278 Statewide)

Telehealth Adoption Rate
41.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
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
169 64 $35.00 $21.63
81003 Automated urinalysis test
73 48 $10.74 $2.22
51798 Ultrasound measurement of bladder capacity after voiding
39 33 $55.00 $8.60
99213 Established patient office or other outpatient visit, typically 15 minutes
28 24 $140.57 $86.33
51700 Simple bladder irrigation and/or instillation
23 20 $190.00 $74.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
16 15 $196.31 $115.05
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope
13 13 $1800.00 $691.55

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WI 19702

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License UT 7223921-1205

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1154565273 (WI)
Medicaid State Provider ID
1154565273 (UT)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Joanna Betry , FNP-BC

Nurse Practitioner - Family

NPI 1578235214

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Business Mailing Address September 12, 2018

Registered at 2376 N 400 E, STE A104, TOOELE, UT 840743413 (Tel: 4358820071)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2018

Urology (License #7223921-1205 in UT)

NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2017

Registered at 2424 S 90TH ST, SUITE 408, MILWAUKEE, WI 532272455 (Tel: 4143852716)

📍
Updated Business Mailing Address April 26, 2017

Registered at 2424 S 90TH ST, SUITE 408, MILWAUKEE, WI 532272455 (Tel: 4143852716)

👤
Provider Name / Credentials Updated April 26, 2017

Recorded as SAMUEL OTTO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Urology (License #19702 in WI)

NPI Profile Active December 01, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2009

Registered at 5405 S 500 E, SUITE 100, OGDEN, UT 844056957 (Tel: 8014758600)

📍
Updated Business Mailing Address December 01, 2009

Registered at 2068 SUMMERWOOD DR, LAYTON, UT 840403105 (Tel: 8016781363)

👤
Provider Name / Credentials Updated December 01, 2009

Recorded as SAMUEL OTTO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2009

Urology (License #7223921-1205 in UT)

🟢
Initial NPI Registration & Enumeration April 21, 2009

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: 1154565273
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2009
Last Update: September 12, 2018
Sole Proprietor: No

Mailing Address

2376 N 400 E, Ste A104

Tooele, UT 840743413

Phone: 4358820071

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.