WILSON OTERO, M.D.

Gastroenterology Physician · ST. THOMAS, VI

Individual Active NPI 1992925051

Medicare payment data Part B · 2023

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2023	79	110	$30,837	$14,603	$10,252

Taxonomy & licensure

Specialty	Code	Primary	License	State
Gastroenterology Physician	207RG0100X	✓	MD00030353	WA
Specialist	174400000X		44063	AZ
Gastroenterology Physician	207RG0100X		3572	VI
Gastroenterology Physician	207RG0100X		44063	AZ

Medicare eligibility

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

At a glance

NPI: 1992925051
Entity type: Individual
Gender: Male
Sole proprietor: Yes
Enumerated: 2007-04-30
Last updated (NPPES): 2023-03-28

Location

Practice address: 9149 ESTATE THOMAS, PARAGON MEDICAL BUILDING SUITE 208, ST. THOMAS, VI, 008022615
Phone: 3407141122
Mailing address: 12400 SW 1ST CT, PLANTATION, FL, 333252702

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Other identifiers

1025558 — CAREPLUS PROVIDER ID # (FL)
4073765 — AETNA NETWORK ID NUMBER (FL)
020549565 — HUMANA HTLH INS ID # (FL)
28885 — STAYWELL HLTH PLANS ID # (FL)
28885 — WELLCARE PROVIDER ID # (FL)
96681 — BLUE CROSS BLUE SHIELD FL (FL)
040931600 (FL)
28885 — HEALTHEASE HLTH PLANS ID# (FL)
582847 (AZ)
33648 — NEIGHBORHOOD HTLH PLAN ID (FL)
020549565 — UNITED HTLHCARE ID # (FL)
020549565 — CIGNA PPO ID NUMBER (FL)
237645 — AVMED PROVIDER ID # (FL)
104531 — MEMORIAL MANAGED CARE ID (FL)
59257 — VISTA HEALTH PLAN ID # (FL)

Other Gastroenterology Physician providers in U.S. Virgin Islands

BRIAN CHEETHAM, MD
ST THOMAS
NPI 1154541688
LAWRENCE N GOLDMAN MD PC
ST THOMAS
NPI 1881885416
RAYMOND CINTRON, MD
ST CROIX
NPI 1841233533
ROBERT ZOLTEN, MD
ST THOMAS
NPI 1649266487
VIGI LLC
ST THOMAS
NPI 1861957193

See all Gastroenterology Physician providers in U.S. Virgin Islands →

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