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LILLIAN B. BOETTCHER MD
NPI 1003443276
Obstetrics & Gynecology in Salt Lake City, UT

Active since March 26, 2020PECOS Enrolled
30 N 1900 E RM 2B200, SALT LAKE CITY, UT 84132(801) 581-7647 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2021, Mar 26, 2020 (2 updates tracked since 2020).

About Lillian B. Boettcher Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLIAN B. BOETTCHER MD (NPI 1003443276) is an individual obstetrics & gynecology provider in Salt Lake City, Utah, licensed in Utah (12419681-1205) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003443276
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLILLIAN B. BOETTCHERCredential: MD
Location Address30 N 1900 E RM 2B200Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 2b200Salt Lake City, UT 84132-0002
Phone(801) 581-7647
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
✔ NPI 1003443276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in UT · 12419681-1205
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
30 N 1900 E RM 2B200, Salt Lake City, UT 84132
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lillian B. Boettcher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lillian Boettcher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke Health Integrated Practice, Inc.
1,716 mi
Family Medicine
131 MEDICAL PARK RD STE 302
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1760288633 (704) 660-4750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PEGGY A. NORTON MD
Obstetrics & Gynecology
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-3565
SUSAN E. DALTON M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7647
JOSEPH R. MIMS JR. MD, MA
Obstetrics & Gynecology
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
ADEBAYO A. ADESOMO MD
Obstetrics & Gynecology
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 213-3716
KELLIE WOODFIELD MD
Obstetrics & Gynecology
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-5501
THERESA ROSE KURTZ MD
Obstetrics & Gynecology
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-5501
DR. ADDISON W. ALLEY MD
Obstetrics & Gynecology (Reproductive Endocrinology)
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 213-3716
OLIVIA A. MOUMNE MD
Obstetrics & Gynecology
30 N 1900 E RM 2B200
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-5501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lillian Boettcher's NPI number?

The NPI number for Lillian Boettcher is 1003443276. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Lillian Boettcher located?

Lillian Boettcher practices at 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132. The listed phone number is (801) 581-7647.

What is Lillian Boettcher's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lillian Boettcher enrolled in Medicare?

Yes. Lillian Boettcher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lillian Boettcher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lillian Boettcher reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Mooresville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lillian Boettcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lillian Boettcher accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Lillian Boettcher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lillian Boettcher was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.