Carmelo Otero, PA
NPI 1194716647 · Physician Assistant · West Lake Hills, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carmelo Otero, PA is a Physician Assistant provider in West Lake Hills, TX (NPI 1194716647).
Provider details
- NPI number
- 1194716647
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA03768 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
108 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 108 | $140 |
Typical Medicare-allowed amounts for these services range $140–$140 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 99 | 59 |
| Rosuvastatin Calcium | 98 | 58 |
| Metoprolol Succinate | 80 | 49 |
| Apixabanbrand: Eliquis | 64 | 26 |
| Lisinopril | 55 | 23 |
| Amlodipine Besylate | 48 | 26 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$499 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-03
- Last updated
- 2021-01-06
- Certified
- 2021-01-06
Frequently asked questions
- What is Carmelo Otero's NPI number?
- Carmelo Otero's National Provider Identifier (NPI) is 1194716647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carmelo Otero's specialty?
- Carmelo Otero is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Carmelo Otero located?
- Carmelo Otero's practice location on file with NPPES is 5656 Bee Cave Rd Ste M300, West Lake Hills, TX 78746-5814.
- What is Carmelo Otero's phone number?
- The practice phone number listed in the NPPES registry for Carmelo Otero is (512) 807-3270.
- Does Carmelo Otero accept Medicare?
- Carmelo Otero is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carmelo Otero's NPI active?
- Yes — Carmelo Otero's NPI (1194716647) is active in the NPPES registry as of the last update on 2021-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.