DR. HERMAN G BOTERO D.O.
NPI 1023094349
Orthopaedic Surgery in Knoxville, TN

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment
91.5/100
CMS Quality Rating
1422 OLD WEISGARBER RD, KNOXVILLE, TN 37909(865) 558-4400 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 14, 2026, Jun 14, 2017 (2 updates tracked since 2017).

About Dr. Herman G Botero D.o. NPPES

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

DR. HERMAN G BOTERO D.O. (NPI 1023094349) is an individual orthopaedic surgery provider in Knoxville, Tennessee, licensed in Tennessee (2089) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Highlands Cashiers Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2004).

NPPES Registry Identity

NPI1023094349
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. HERMAN G BOTEROCredential: D.O.
Location Address1422 OLD WEISGARBER RDKnoxville, TN 37909-1293
Mailing Address8320 E Walker Springs Ln Ste 200Knoxville, TN 37923-3120 · (865) 769-4500 · Fax (865) 769-4501
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2004
Enumeration DateDecember 19, 2005
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1023094349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TN · 2089
Definition

An orthopaedic surgeon 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. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems 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. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 2089 (TN)
1422 OLD WEISGARBER RD, Knoxville, TN 37909

Other Identifiers 4

Medicaid1525609TN
Other6016883TN · Bluecross Blueshield
OtherP01361606TN · Railroad Medicare
Other9292410TN · Aetna

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Herman G Botero D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931240025
PECOS Enrollment IDI20100112000329, I20130723000108
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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,200 services122 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
425 services325 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
399 services338 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
330 services309 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
227 services220 patients
X-ray for bone length assessment 77073
An X-ray for bone length assessment is a simple, non-invasive imaging test. It helps to evaluate the length of your bones and identify any discrepancies or abnormalities. This procedure is quick, painless, and provides valuable information for your healthcare provider.
207 services198 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Highlands Cashiers Hospital

Critical Access Hospitals · Highlands, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341316
Location190 Hospital DriveHighlands, NC 28741 · Macon County
Emergency services

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440110
Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County
Emergency services

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40
Cost80.84

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
18 suppliers43 claims43 services$52.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
1422 OLD WEISGARBER RD
KNOXVILLE, TN 37909
Physician Assistant
1422 OLD WEISGARBER RD
KNOXVILLE, TN 37909
Specialist/Technologist (Athletic Trainer)
1422 OLD WEISGARBER RD
KNOXVILLE, TN 37909
Orthopaedic Surgery
1422 OLD WEISGARBER RD
KNOXVILLE, TN 37909
Physical Therapist
1422 OLD WEISGARBER RD
KNOXVILLE, TN 37909
Physical Therapist
1422 OLD WEISGARBER RD
KNOXVILLE, TN 37909
Physical Therapist
1422 OLD WEISGARBER RD
KNOXVILLE, TN 37909
Physician Assistant
1422 OLD WEISGARBER RD
KNOXVILLE, TN 37909

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 Herman Botero's NPI number?

The NPI number for Herman Botero is 1023094349. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Herman Botero located?

Herman Botero practices at 1422 Old Weisgarber Rd, Knoxville, TN 37909. The listed phone number is (865) 558-4400.

What is Herman Botero's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Herman Botero enrolled in Medicare?

Yes. Herman Botero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Herman Botero accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Herman Botero 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.

Is Herman Botero affiliated with any hospitals?

According to CMS data, Herman Botero is affiliated with Highlands Cashiers Hospital, Blount Memorial Hospital, University Health System, Inc, Fort Loudoun Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Herman Botero was last updated on January 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.