Randall Jason Otto
M.D. | Orthopedic Surgery | 20+ years Exp
Medicare Enrolled 1011 Bowles Ave Ste 400, Fenton
Missouri, 63026-2387
314-977-7200 636-326-6533
Maps & DirectionsRandall Jason Otto is a Fenton, Missouri based orthopedic surgeon with 20 years of experience in Orthopedic Surgery. He completed his graduation from University Of Missouri, Kansas City, School Of Medicine in 2005. He is also affiliated with hospitals like Ssm St Clare Health Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Randall Jason Otto is 2012011162 for Orthopedic Surgery in Missouri.
Randall Jason Otto is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Randall Jason Otto speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Orthopedic Surgery |
| Credentials: | M.D. |
| Experience: | 20+ years |
| Medical School Attended: | University Of Missouri, Kansas City, School Of Medicine |
| Graduation Year: | 2005 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1011 Bowles Ave Ste 400, Fenton,
Missouri, 63026-2387 |
| Phone: | 314-977-7200 |
| Fax: | 636-326-6533 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3173792801 |
| Enrollment ID: | I20120813000638 |
| NPI Number: | 1841494689 |
| NPI Enumeration Date: | 14 Jun, 2007 |
| NPI Last Update On: | 24 Feb, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randall Jason Otto are as mentioned below.
| License Number | Specialization | State | Status | |
| 2012011162 | Orthopedic Surgery | Missouri | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Ssm St Clare Health Center (260081) | Fenton, MO | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Randall Jason Otto is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| St Louis University (8022921964) | 444 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Randall Jason Otto such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 136637 | Other | Missouri | HEALTHCARE USA |
| 4258558 | Other | Missouri | CIGNA |
| 501357701 | Medicaid | Missouri | |
| 122950063 | Other | Missouri | MEDICARE PTAN |
| A82171 | Other | Missouri | HEALTHLINK |
| 771091 | Other | Missouri | ANTHEM BLUE CROSS BLUE SHIELD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1008 S Spring Ave Fl 1,
Saint Louis, Missouri |
| Zip: | 63110-2520 |
| Phone Number: | 314-977-5350 |
| Fax Number: | 314-977-1629 |
Patients can reach Randall Jason Otto at
1011 Bowles Ave Ste 400, Fenton, Missouri or can
call to book an appointment on 314-977-7200.
Comments/ Reviews:
Patients can read all the reviews posted for Randall Jason Otto below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Randall Jason Otto. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.