Doctor profile · Federal record
Dr. Othon Wiltz, M.D.
Colon & Rectal Surgery Physician (CMS: Colorectal Surgery (Proctology)) · Colon & Rectal Surgery Physician · Fairfax, VA
- NPI 1174525869
- 41 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3620 Joseph Siewick Dr Ste 406
Fairfax, VA 220331761
(703) 359-8640
fax (703) 591-6105 - Mailing address
-
3620 Joseph Siewick Dr, Suite 406
Fairfax, VA 22033
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- July 25, 2017
- Year of graduation
- 1985 — 41 yrs since
- Specialty taxonomy
- 208C00000X — NUCC code
- State licenses (2)
- Virginia #0101240155 · Puerto Rico #11687
- Medicaid
- VA #1174525869
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174525869. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
81
Distinct HCPCS
4
Medicare allowed
$11,924
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 36 | 20 | $137 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $195 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 15 | 11 | $112 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $154 |
In context: peer comparison
Among 3 peers in Fairfax Colon & Rectal Surgery Physician, average services per provider: 37. This provider delivers 2.2× the peer median.Open Payments
Industry payments received
All-time total
$23
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Takeda Pharmaceuticals U.S.A., INC. | 1 | $23.12 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
12
Patients
11
Total drug cost
$22
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tramadol Hcl | Generic | 12 | 11 | $22 |
Frequently asked questions
What is Dr. Othon Wiltz's medical specialty?
Dr. Othon Wiltz practices Colon & Rectal Surgery Physician in Fairfax, VA.
Where does Dr. Othon Wiltz practice?
Dr. Othon Wiltz practices at 3620 Joseph Siewick Dr Ste 406, Fairfax, VA 220331761. Office phone: 7033598640.
What is Dr. Othon Wiltz's NPI?
Dr. Othon Wiltz's National Provider Identifier (NPI) is 1174525869, issued by NPPES.
Does Dr. Othon Wiltz accept Medicare assignment?
Dr. Othon Wiltz does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Othon Wiltz commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.