Otto C. Concepcion, M.D.
Internal Medicine Physician · Hialeah, FL
Otto C. Concepcion, M.D. is an internal medicine physician with a practice address in Hialeah, Florida, and NPI 1508002999, issued on Jan 6, 2009. Check the license (Florida ME103235, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Otto C. Concepcion
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- ME103235 FL
Self-reported in NPPES; status is on the state search - Practice location
- 3855 E 4TH Ave, Hialeah, FL 33013
- Phone
- (305) 835-0438
- Enumerated
- Jan 6, 2009
- Record last updated
- Jun 23, 2026
- Fax
- (786) 796-2721
- Medicare enrollment
- Enrolled (PECOS I20100308000853); may accept Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 10,151 in Florida → Look up another NPI →
Also registered at 3855 E 4TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ana Penenori Montoto, ARNPAdult Health Nurse Practitioner1275870792
Verify Otto C. Concepcion in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME103235Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
75% fewer Medicare Part D claims than the average internal medicine physician in 2024
793 Medicare Part D claims for 241 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims.
Most prescribed
- Atorvastatin Calcium64 claims
- Amlodipine Besylate38 claims
- Losartan Potassium31 claims
- Rosuvastatin Calcium26 claims
- Metformin Hcl23 claims
- Levothyroxine Sodium21 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $25.26
1 payment: food and beverage; the largest payer was Exact Sciences Corporation. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Cano Health, LLCHialeah, FL
- South Dade Primary Care LLCHomestead, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Otto C. Concepcion among 10,151 internal medicine physician records in Florida
Otto C. Concepcion, M.D. is one of 10,151 internal medicine physician records with a practice address in Florida. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 56% of them.
- NPI issued2009 · 56% of these records are older, 42% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated1994 · median 2004 among the 6,606 with a school on file
- Record last updated2026 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
139 internal medicine physician records list a practice address in Hialeah
They are 139 of the 10,443 NPPES records with a practice address in Hialeah, and 10,151 internal medicine physician records in Florida.
All 10,151 in Florida → Every provider in Hialeah → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Manuel Aran, MDHialeah, FL 330131770593949
- Jose Baca, MDHialeah, FL 330131558308783
- Juan Cancio, M.D.Hialeah, FL 330131366463796
- Gloria CasalHialeah, FL 330131891721049
- Marcio Ferez, MDHialeah, FL 330131083627673
- Rossana Lopez, M.D.Hialeah, FL 330131326159385
- Grisel Mac Williams, MDHialeah, FL 330131053396549
- Marietta Miralles-Bouza, MDHialeah, FL 330131548375033
Common questions
What is Otto C. Concepcion, M.D.'s NPI number?
Otto C. Concepcion, M.D.'s National Provider Identifier (NPI) is 1508002999, issued on Jan 6, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Otto C. Concepcion, M.D. located?
The NPPES record lists a practice address at 3855 E 4TH Ave, Hialeah, FL, 33013. Phone: (305) 835-0438. Providers update this record themselves, so call before visiting.
How can I verify Otto C. Concepcion, M.D.'s license?
NPPES lists Florida license number ME103235, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Otto C. Concepcion, M.D. prescribe under Medicare Part D?
In 2024, Otto C. Concepcion, M.D. had 793 Medicare Part D claims for 241 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.