NPPES file of Aug 9, 2026

Susan E. Otero, MD

General Practice Physician · Wilmington, DE

Susan E. Otero, MD is a general practice physician with a practice address in Wilmington, Delaware, and NPI 1205997244, issued on Dec 13, 2006. Check the license (Delaware C1-0025325, as entered in NPPES) on the Delaware Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1205997244
Name
Susan E. Otero
Credential
MD
Primary taxonomy
General Practice Physician 208D00000X
License numbers
C1-0025325 DE
MD14270 DC
Self-reported in NPPES; status is on the state search
Practice location
251 Little Falls Dr, Wilmington, DE 19808
Phone
(310) 445-5999
Enumerated
Dec 13, 2006
Record last updated
May 25, 2023
Medicaid IDs
528271300 MD
25544400 DC
Medicare enrollment
Enrolled (PECOS I20190502002278); accepts Medicare assignment
Medical or professional school
George Washington University School Of Medicine, 1980
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Susan E. Otero in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersDelaware Board of Medical Licensure and Discipline
    Search for license C1-0025325
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Delaware license search

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99% fewer Medicare Part D claims than the average general practice physician in 2024

17 Medicare Part D claims, against an average of 3,030 among the 8,395 providers of this specialty who prescribed in Part D.

  1. Susan Otero17
  2. Specialty average3,030

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.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%96.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Skilled Facility Health Care Solutions IncRichmond, VA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Susan E. Otero among 49 general practice physician records in Delaware

Susan E. Otero, MD is one of 49 general practice physician records with a practice address in Delaware. 37% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.

  • NPI issued2006 · 8% of these records are older, 37% newer
  • In a Medicare fileYes · 37% of these records are
  • In the CMS Doctors and Clinicians fileYes · 14% of these records are
  • Record last updated2023 · 82% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208D00000X and a Delaware practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

General Practice Physician providers in Delaware

There are 49 general practice physician records in Delaware.

The 8 general practice physician records with the nearest ZIP codes

  1. Ananth Nabha, MDWilmington, DE 198081962435404
  2. Scott Schaeffer, MDWilmington, DE 198081649242801
  3. Dimitrios Zerefos, DOWilmington, DE 198081013916766
  4. Andrew Henderson, MDWilmington, DE 198091134210511
  5. Henrietta Mahoney, MDWilmington, DE 198091003907411
  6. Wayne Garraway, DOWilmington, DE 198101871660845
  7. Aguida Atkinson, MDWilmington, DE 198051407947880
  8. Nelson Santos, MDWilmington, DE 198051831280171

Common questions

What is Susan E. Otero, MD's NPI number?

Susan E. Otero, MD's National Provider Identifier (NPI) is 1205997244, issued on Dec 13, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Susan E. Otero, MD located?

The NPPES record lists a practice address at 251 Little Falls Dr, Wilmington, DE, 19808. Phone: (310) 445-5999. Providers update this record themselves, so call before visiting.

How can I verify Susan E. Otero, MD's license?

NPPES lists Delaware license number C1-0025325, as entered by the provider. Search the Delaware Board of Medical Licensure and Discipline at https://delpros.delaware.gov/OH_VerifyLicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Susan E. Otero, MD prescribe under Medicare Part D?

In 2024, Susan E. Otero, MD had 17 Medicare Part D claims; the average among general practice physician prescribers was 3,030. Part D covers Medicare prescriptions only.

What is Susan E. Otero, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

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.