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 .

NPPES Updated May 11, 2026
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

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

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

CMS Provider Utilization
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 Decatur Surgery Physician, average services per provider: 45. This provider delivers 8.9× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$18
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Tactile Systems Technology INC 1 $18.22

By nature of payment

Food and Beverage
$18

Frequently asked questions

Auto-generated from federal data
What is Dr. Wael Otaibi's medical specialty?
Dr. Wael Otaibi practices Surgery Physician in Decatur, IL.
Where does Dr. Wael Otaibi practice?
Dr. Wael Otaibi practices at 1770 E Lake Shore Dr Ste 105, Decatur, IL 625213800. Office phone: 2173291000.
What is Dr. Wael Otaibi's NPI?
Dr. Wael Otaibi's National Provider Identifier (NPI) is 1255452124, issued by NPPES.
What procedures does Dr. Wael Otaibi commonly perform?
Top Medicare-reported procedures in 2023: Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS 93971); Established patient office or other outpatient visit (HCPCS 99212); Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS 36475). Source: CMS Medicare Physician & Other Practitioners file.