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

Randall Jason Otto, MD

Individual provider Orthopaedic Surgery Physician · NPI 1841494689

Randall Jason Otto, MD is an Orthopedic Surgery in Fenton, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2005, 21 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
21
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MO
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1011 Bowles Ave Ste 400
Fenton, MO 63026-2387
Phone: (314) 977-7200
Fax: (636) 326-6533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 2012011162 (MO)

Record details

NPI number1841494689
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2007
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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