Ryan Otto
NPI 1457004517 · Physician Assistant · Kenosha, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ryan Otto is a Physician Assistant provider in Kenosha, WI (NPI 1457004517).
Provider details
- NPI number
- 1457004517
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- IL (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 54 | 22 |
| Lisinopril | 42 | 12 |
| Omeprazole | 24 | — |
| Amlodipine Besylate | 23 | — |
| Levothyroxine Sodium | 23 | — |
| Metoprolol Succinate | 22 | — |
| Oxybutynin Chloride |
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-01-30
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Frequently asked questions
- What is Ryan Otto's NPI number?
- Ryan Otto's National Provider Identifier (NPI) is 1457004517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ryan Otto's specialty?
- Ryan Otto is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ryan Otto located?
- Ryan Otto's practice location on file with NPPES is 1400 43rd St, Kenosha, WI 53140-2741.
- What is Ryan Otto's phone number?
- The practice phone number listed in the NPPES registry for Ryan Otto is (414) 651-2814.
- Does Ryan Otto accept Medicare?
- Ryan Otto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ryan Otto's NPI active?
- Yes — Ryan Otto's NPI (1457004517) is active in the NPPES registry as of the last update on 2026-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.