Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dustin J Otterberg, PA

Individual provider Physician Assistant · NPI 1295773646

Dustin J Otterberg, PA is a Physician Assistant in Hickory, North Carolina. Qualified in 1998, 28 years ago. Practices with Wake Forest Emergency Providers, a 489-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
28
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone: (828) 326-3000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0001-02621 (NC)

Record details

NPI number1295773646
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESMay 29, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Wake Forest Emergency Providers — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hickory