RANDOLPH OTTO, MD

Pediatric Radiology Physician · TACOMA, WA

Individual Active NPI 1881767606

Medicare payment data Part B · 2023

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2023	13	20	$2,235	$575	$451

Taxonomy & licensure

Specialty	Code	Primary	License	State
Pediatric Radiology Physician	2085P0229X	✓	00027380	WA

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.