Doctor profile · Federal record
Dr. WAEL OTAIBI, D.O.
Surgery Physician · Surgery Physician · Surgery Physician · Surgery Physician · DECATUR, IL
- NPI 1255452124
- 19 yrs on file
- Licensed in 4 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1770 E LAKE SHORE DR STE 105
DECATUR, IL 625213800
(217) 329-1000
fax (217) 329-1055 - Additional location
-
207 S Pine St
Shelbyville, IL 625651749
(217) 464-1200
fax (217) 464-1210 - Additional location
-
1050 Isaac Streets Dr, Suite 134
Oregon, OH 436163291
(419) 720-2242
fax (419) 720-2897 - Mailing address
-
3051 HOLLIS DR FL 2
SPRINGFIELD, IL 627047452
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- November 15, 2019
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (4)
- Illinois #036150787 · New York #254927 · Michigan #5101015634 · Ohio #34.011232
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255452124. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
399
Distinct HCPCS
7
Medicare allowed
$143,605
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
93971 |
Ultrasound study of one arm or leg veins with compression and maneuvers | 105 | 39 | $119 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 94 | 37 | $57 | |
36475 |
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 60 | 26 | $1,064 | |
93970 |
Ultrasound study of arm or leg veins with compression and maneuvers | 49 | 46 | $186 | |
36465 |
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 33 | 24 | $1,417 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 32 | 32 | $115 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 26 | 21 | $91 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 45. This provider delivers 8.9× the peer median.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Tactile Systems Technology Inc | 1 | $18.22 |