Doctor profile · Federal record
Dr. Samuel Patrick Otis, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · St Louis Park, MN
- NPI 1619452075
- Accepts Medicare
- MIPS 99.2 / 100 · 2023
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
6500 Excelsior Blvd
St Louis Park, MN 554264702
(952) 993-5000 - Additional location
-
2104 Northdale Blvd Nw Ste 220
Coon Rapids, MN 554333046
(763) 537-6000 - Mailing address
-
8170 33Rd Ave S # MS 21110Q
Bloomington, MN 554254516
Credentials & registration
- NPI registered
- October 2018 — 8 yrs on file
- Profile last updated
- November 24, 2025
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Minnesota #2287
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619452075. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
38
Distinct HCPCS
2
Medicare allowed
$7,311
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00300 |
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back | 25 | 25 | $196 | |
01942 |
Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance | 13 | 13 | $186 |
In context: peer comparison
Among 14 peers in this city , average services per provider: 26. This provider delivers 1.5× the peer median.Open Payments
Industry payments received
All-time total
$42
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 2 | $41.80 |
By nature of payment
Frequently asked questions
What is Dr. Samuel Patrick Otis's medical specialty?
Dr. Samuel Patrick Otis practices Certified Registered Nurse Anesthetist in St Louis Park, MN.
Where does Dr. Samuel Patrick Otis practice?
Dr. Samuel Patrick Otis practices at 6500 Excelsior Blvd, St Louis Park, MN 554264702. Office phone: 9529935000.
What is Dr. Samuel Patrick Otis's NPI?
Dr. Samuel Patrick Otis's National Provider Identifier (NPI) is 1619452075, issued by NPPES.
Does Dr. Samuel Patrick Otis accept Medicare assignment?
Yes. Dr. Samuel Patrick Otis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Samuel Patrick Otis commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back (HCPCS 00300); Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance (HCPCS 01942). Source: CMS Medicare Physician & Other Practitioners file.