Charles Daniel Otero, PA
NPI 1255375903ActiveIndividual· Physician Assistant· Clovis, NM
Physician Assistant (PA) in Clovis, New Mexico, licensed in NM, with an NPI issued in June 2006. In 2024 Medicare paid $63,779 for 42 patients, and Part D covered 637 of their prescriptions, 79% of them generic. Phadia US Inc. was the largest of 2 companies reporting payments in 2025, $70.84 in all, mostly food and beverage. Lists Plains Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1255375903 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jun 15, 2006 |
| Last updated in NPPES | Dec 27, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 93-PA01 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 887 across 15 procedure codes |
| Paid by Medicare | $63,779 |
Part D prescriptions in 2024
| Prescriptions (claims) | 637 · 816 30-day fills |
|---|---|
| Patients | 31 |
| Total drug cost | $56,835 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Physician Assistant |
Hospital affiliation
- Plains Regional Medical CenterClovis, NM
Industry payments (Open Payments)
- 2025$70.84 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Phadia US Inc. | $37.21 | 1 |
| Astrazeneca Pharmaceuticals LP | $33.63 | 1 |
What the 2025 payments were for
- Food and Beverage$70.84 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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