Carmelo C. Otero, PA
NPI 1194716647ActiveIndividual· Physician Assistant· West Lake Hills, TX
Physician Assistant (PA) with Scott and White Clinic, practicing in West Lake Hills, Texas. Their prescriptions cost Medicare Part D more than their services did: $140,736 for 894 claims, against $11,005 paid for services in 2024. Silk Road Medical, Inc. reported $498.51 in payments in 2024, mostly travel and lodging. Lists Baylor Scott & White Medical Center - Round Rock and 1 other hospital as hospital affiliations.
Overview
| NPI | 1194716647 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Nov 3, 2005 |
| Last updated in NPPES | Jan 6, 2021 |
| Certified by provider | Jan 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA03768 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 116 |
|---|---|
| Services billed | 119 across 5 procedure codes |
| Paid by Medicare | $11,005 |
Part D prescriptions in 2024
| Prescriptions (claims) | 894 · 2,317 30-day fills |
|---|---|
| Patients | 360 |
| Total drug cost | $140,736 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Scott and White ClinicCollege Station, TX · 2,461 clinicians
Hospital affiliations
- Baylor Scott & White Medical Center - Round RockRound Rock, TX
- Baylor Scott & White Medical Center -TaylorTaylor, TX
Industry payments (Open Payments)
- 2024$498.51 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Silk Road Medical, Inc. | $498.51 | 2 |
What the 2024 payments were for
- Travel and Lodging$262.10 · 1 payment
- Food and Beverage$236.41 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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