MR. JOHN DAVID BOTERO NP-C
NPI 1083921274
Nurse Practitioner - Family in Lawrenceville, GA

Q: What is John Botero's NPI number?

The NPI number for John Botero is 1083921274. It was assigned to this individual provider in the NPPES registry on September 9, 2010.

Q: What is John Botero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for John Botero was last updated on September 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 09, 2010PECOS Enrolled

631 PROFESSIONAL DR STE 450, LAWRENCEVILLE, GA 30046(770) 963-8030(770) 339-9577 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. John David Botero Np-c NPPES

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

MR. JOHN DAVID BOTERO NP-C (NPI 1083921274) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (RN207415) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083921274

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JOHN DAVID BOTEROCredential: NP-C

Location Address631 PROFESSIONAL DR STE 450Lawrenceville, GA 30046-3370

Mailing Address631 Professional Dr Ste 450Lawrenceville, GA 30046-3370 · (770) 963-8030 · Fax (770) 339-9577

Phone(770) 963-8030

Fax(770) 339-9577

Sole ProprietorNo

Enumeration DateSeptember 9, 2010

✔ NPI 1083921274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN207415

631 PROFESSIONAL DR STE 450, Lawrenceville, GA 30046

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John David Botero Np-c 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

97 services93 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

64 services62 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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