Doctor profile · Federal record
Dr. Tara Otto, MD
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Diagnostic Radiology Physician · Fort Walton Beach, FL
- NPI 1356509038
- 19 yrs in practice
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
220 Fliva Ave Nw
Fort Walton Beach, FL 32548
(952) 595-1100
fax (612) 294-4903 - Mailing address
-
11995 Singletree Ln, Ste 500
Eden Prairie, MN 553445347
Credentials & registration
- NPI registered
- May 2008 — 18 yrs on file
- Profile last updated
- April 14, 2025
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (3)
- Florida #ME113202 · Missouri #2021040905 · Illinois #036133782
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356509038. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,283
Distinct HCPCS
10
Medicare allowed
$106,679
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 1,309 | 1,221 | $9 | |
70450 |
Ct scan head or brain without contrast | 403 | 401 | $39 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 216 | 213 | $86 | |
74176 |
Ct scan of abdomen and pelvis without contrast | 186 | 184 | $82 | |
71275 |
Ct scan of blood vessels of chest with contrast | 132 | 131 | $85 | |
71250 |
Ct scan of chest without contrast | 117 | 117 | $50 | |
74018 |
X-ray of abdomen, 1 view | 73 | 70 | $9 | |
72125 |
Ct scan of upper spine without contrast | 71 | 71 | $46 | |
71046 |
X-ray of chest, 2 views | 58 | 58 | $10 | |
73502 |
X-ray of hip, 2-3 views | 50 | 49 | $11 |
In context: peer comparison
Among 4 peers in Fort Walton Beach Diagnostic Radiology Physician, average services per provider: 130. This provider delivers 25× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Tara Otto's medical specialty?
Dr. Tara Otto practices Diagnostic Radiology Physician in Fort Walton Beach, FL.
Where does Dr. Tara Otto practice?
Dr. Tara Otto practices at 220 Fliva Ave Nw, Fort Walton Beach, FL 32548. Office phone: 9525951100.
What is Dr. Tara Otto's NPI?
Dr. Tara Otto's National Provider Identifier (NPI) is 1356509038, issued by NPPES.
Does Dr. Tara Otto accept Medicare assignment?
Dr. Tara Otto does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Tara Otto commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); Ct scan head or brain without contrast (HCPCS 70450); Ct scan of abdomen and pelvis with contrast (HCPCS 74177). Source: CMS Medicare Physician & Other Practitioners file.