Otis Allen MD Sc
NPI 1457629842 · Plastic Surgery Physician · Bloomington, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Otis Allen MD Sc is a Plastic Surgery Physician organization in Bloomington, IL (NPI 1457629842).
Provider details
- NPI number
- 1457629842
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Margaret Allen, Office Manager(309) 827-3881
- License
- 036064804 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-12-13
- Last updated
- 2011-12-13
Frequently asked questions
- What is Otis Allen MD Sc's NPI number?
- Otis Allen MD Sc's National Provider Identifier (NPI) is 1457629842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Otis Allen MD Sc?
- Otis Allen MD Sc is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Otis Allen MD Sc located?
- Otis Allen MD Sc's practice location on file with NPPES is 1215 Holiday Dr, Bloomington, IL 61704-2214.
- What is Otis Allen MD Sc's phone number?
- The practice phone number listed in the NPPES registry for Otis Allen MD Sc is (309) 827-3881.
- Does Otis Allen MD Sc accept Medicare?
- Otis Allen MD Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Otis Allen MD Sc?
- The authorized official listed on Otis Allen MD Sc's NPPES record is Margaret Allen, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Otis Allen MD Sc's NPI active?
- Yes — Otis Allen MD Sc's NPI (1457629842) is active in the NPPES registry as of the last update on 2011-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.