Randall Jason Otto, MD - Medicare Orthopedic Surgery in Fenton, MO

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Randall Jason Otto, MD is a medicare enrolled "Orthopaedic Surgery" physician in Fenton, Missouri. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Ssm Health Care Group, Physical Therapy Spine And Sports Medicine Llc and his current practice location is 1011 Bowles Ave Ste 400, Fenton, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 977-7200.

Randall Jason Otto is licensed to practice in Missouri (license number 2012011162) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841494689.

Contact Information

Randall Jason Otto, MD
1011 Bowles Ave Ste 400,
Fenton, MO 63026-2387
(314) 977-7200
(636) 326-6533

Map and Direction




Physician's Profile

Full NameRandall Jason Otto
GenderMale
SpecialityOrthopedic Surgery
Experience20 Years
Location1011 Bowles Ave Ste 400, Fenton, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Randall Jason Otto attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1841494689
  • Provider Enumeration Date: 06/14/2007
  • Last Update Date: 02/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3173792801
  • Enrollment ID: I20120813000638

Medical Identifiers

Medical identifiers for Randall Jason Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841494689NPI-NPPES
136637OtherMOHEALTHCARE USA
4258558OtherMOCIGNA
501357701MedicaidMO
122950063OtherMOMEDICARE PTAN
A82171OtherMOHEALTHLINK
771091OtherMOANTHEM BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 2012011162 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm St Clare Health CenterFenton, MOHospital
Ssm Health St Mary's Hospital - St LouisRichmond heights, MOHospital
St Lukes HospitalChesterfield, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Health Care Group0143608372802
Physical Therapy Spine And Sports Medicine Llc3173654936100

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Randall Jason Otto allows following entities to bill medicare on his behalf.
Entity NameSsm Health Care Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randall Jason Otto is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randall Jason Otto, MD
1008 S Spring Ave Fl 1,
Saint Louis, MO 63110-2520

Ph: (314) 977-5350		Randall Jason Otto, MD
1011 Bowles Ave Ste 400,
Fenton, MO 63026-2387

Ph: (314) 977-7200

Reviews and Comments


Orthopaedic Surgery Doctors in Fenton, MO

Dr. Kurt D Merkel, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1011 Bowles Ave, Suite 400, Fenton, MO 63026
Phone: 636-680-5400    Fax: 636-680-5405
Dr. Clayton R Perry, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Bowles Ave, Suite 400, Fenton, MO 63026
Phone: 636-680-5400    Fax: 636-680-5405

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.