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Dr. Wael Mohammad Otaibi , DO

Surgery โ€ข Decatur, IL

Active NPI 1255452124 Individual Practitioner Male Practitioner
Practice location in NPPES

1770 E Lake Shore Dr Ste 105
Decatur, IL 625213800

Call 2173291000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1770 E Lake Shore Dr Ste 105

Decatur, IL 625213800

Telephone 2173291000
Fax 2173291055
Organization at the Same NPPES Address or Phone

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Oregon, OH; Shelbyville, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare-allowed amount

About $143,606 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $112,998 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

30-day fills

51 standardized 30-day fills in 2020

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,696 in 2020

The total cost of these prescriptions in 2020, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2020.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $18.22 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Otaibi as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Decatur and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Otaibi are from 2023.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Otaibi are from 2020.

18 active clinicians are listed under Surgery with a practice address in Decatur, IL (1,523 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Decatur

0% of these 18 clinicians have the CMS telehealth indicator.

55.6% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2020), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $18.22.

Manufacturer Payment Nature Product Type Amount ($)
Tactile Systems Technology Inc
Food and Beverage
In-kind items and services
Flexitouch Plus General $18.22

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
93971 Ultrasound study of one arm or leg veins with compression and maneuvers
105 39 $525.00 $119.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
94 37 $275.00 $57.15
36475 Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance
60 26 $4400.00 $1063.93
93970 Ultrasound study of arm or leg veins with compression and maneuvers
49 46 $625.00 $185.57
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance
33 24 $5800.00 $1416.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
32 32 $150.00 $114.70
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
26 21 $375.00 $91.34

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2020.

CMS Part D ยท Data Year 2020
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 27 163 $144.28 24
Suprep Sodium, Potassium,mag Sulfates 24 28 $2,552.19 22

Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES IL 036150787

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES NY 254927

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES MI 5101015634

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES OH 34.011232

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1050 Isaac Streets Dr, Suite 134

Oregon, OH 436163291

Phone: 4197202242

207 S Pine St

Shelbyville, IL 625651749

Phone: 2174641200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
NPI 1508110198

Doctor of Medicine (M.D.)

Emily Artime , PA

Physician Assistant

NPI 1255560629

Physician Assistant

Dr. Richard Dilorenzo , DO

Internal Medicine - Gastroenterology

NPI 1528090164

Doctor of Osteopathic Medicine (D.O.)

Dr. Khondker Islam , MD

Internal Medicine - Gastroenterology

NPI 1568441855

Doctor of Medicine (M.D.)

NPI 1255696605

Doctor of Medicine (M.D.)

Dr. Manoj Kohli , MD

Internal Medicine - Rheumatology

NPI 1215948146

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location November 15, 2019

Registered at 1770 E LAKE SHORE DR STE 105, DECATUR, IL 625213800 (Tel: 2173291000)

๐Ÿ“
Updated Business Mailing Address November 15, 2019

Registered at 3051 HOLLIS DR FL 2, SPRINGFIELD, IL 627047452 (Tel: 2175235432)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2019

Surgery (license number reported to NPPES: OH 34.011232)

๐Ÿ“
Updated Business Mailing Address January 23, 2019

Registered at 4235 SECOR RD, TOLEDO, OH 436234231 (Tel: 5675850223)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2019

Surgery (license number reported to NPPES: NY 254927)

โœ…
NPI Profile Active March 12, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 12, 2014

Registered at 1050 ISAAC STREETS DR, SUITE 134, OREGON, OH 436163291 (Tel: 4197202242)

๐Ÿ“
Business Mailing Address (Initial Record) March 12, 2014

Registered at 1050 ISAAC STREETS DR, SUITE 134, OREGON, OH 436163291 (Tel: 4197202242)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 12, 2014

Recorded as WAEL OTAIBI, D.O.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2014

Surgery (license number reported to NPPES: OH 34.011232)

๐ŸŸข
Initial NPI Registration & Enumeration April 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255452124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2007
Last Update: November 15, 2019
Sole Proprietor: No

Other Surgery Specialists in Decatur

All Surgery Specialists in Decatur

Mailing Address

3051 Hollis Dr Fl 2

Springfield, IL 627047452

Phone: 2175235432

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.