James M. Otto, M.D.
NPI 1477690766ActiveIndividual· Internal Medicine· Nacogdoches, TX
Internal Medicine (M.D.) in Nacogdoches, Texas, trained at University of Texas Southwestern Medical School at Dallas (class of 1990). Their prescriptions cost Medicare Part D more than their services did: $956,698 for 10,209 claims, against $56,233 paid for services in 2024. Novo Nordisk Inc was the largest of 5 companies reporting payments in 2025, $331.53 in all, mostly food and beverage.
Overview
| NPI | 1477690766 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 30, 2007 |
| Last updated in NPPES | May 23, 2023 |
| Certified by provider | May 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | J0173 | 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 - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 176 |
|---|---|
| Services billed | 941 across 33 procedure codes |
| Paid by Medicare | $56,233 |
Part D prescriptions in 2024
| Prescriptions (claims) | 10,209 · 17,659 30-day fills |
|---|---|
| Patients | 474 |
| Total drug cost | $956,698 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | University of Texas Southwestern Medical School at Dallas |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Internal Medicine |
Medical group
- Lion Star Nacogdoches Hospital, LLCNacogdoches, TX · 12 clinicians
Hospital affiliations
- Nacogdoches Medical CenterNacogdoches, TX
- Nacogdoches Memorial HospitalNacogdoches, TX
Other facilities
- A Pineywoods Home Health Care IncHome health agency · Lufkin, TX
- Elara CaringHome health agency · Jasper, TX
- Happy at Home HealthcareHome health agency · Henderson, TX
Industry payments (Open Payments)
- 2025$331.53 · 7 payments from 5 companies
- 2024$107.49 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $238.08 | 2 |
| Exact Sciences Corporation | $33.07 | 2 |
| Abbvie Inc. | $22.72 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $19.34 | 1 |
| Pfizer Inc. | $18.32 | 1 |
What the 2025 payments were for
- Food and Beverage$331.53 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine providers in Nacogdoches
- 1407091580
- 1265060263
- 1669306890
- 1609319458
- 1841248630
- 1952673287
- 1861637944
- 1770162695
- 1376857268
- 1629139712
- 1538185517
- 1255492211