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NICOLETTE MICHELLE BOTTESINI DO
NPI 1114554037
Internal Medicine in Portland, OR

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
86.22/100
CMS Quality Rating
1200 NW 23RD AVE, PORTLAND, OR 97210(503) 413-7074(503) 413-6892 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 13, 2023, Jun 8, 2020, Mar 23, 2020 (3 updates tracked since 2020).

About Nicolette Michelle Bottesini Do NPPES

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

NICOLETTE MICHELLE BOTTESINI DO (NPI 1114554037) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (DO215871) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2020).

NPPES Registry Identity

NPI1114554037
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNICOLETTE MICHELLE BOTTESINICredential: DO
Location Address1200 NW 23RD AVEPortland, OR 97210-2906
Mailing Address1200 Nw 23rd AvePortland, OR 97210-2906 · (503) 413-7074 · Fax (503) 413-6892
Phone(503) 413-7074
Fax(503) 413-6892
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateJune 13, 20233 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1114554037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · DO215871
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1200 NW 23RD AVE, Portland, OR 97210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicolette Michelle Bottesini Do 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 ID244652261
PECOS Enrollment IDI20230626001844
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 Reassignments

3

Medicare enrollment records show Nicolette Bottesini reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Good Samaritan Hospital And Medical Center
Same address
Clinic/Center
1200 NW 23RD AVE
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 387 clinicians in this Medicare group
NPI 1679597108 (503) 413-7074
Legacy Clinics LLC
0.1 mi
Clinic/Center
1130 NW 22ND AVE STE 220
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1902827272 (503) 413-2901
Legacy Emanuel Hospital & Health Center
1.6 mi
General Acute Care Hospital
2801 N GANTENBEIN AVE
Portland, OR 97227
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1831112358 (503) 413-2200

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services23 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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.

86.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.64
Promoting Interoperability99
Improvement Activities40
Cost49.32

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.

DR. WENDI KAY BORN PHD
Psychologist
1200 NW 23RD AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7074
ASHLEY ROBIN WANG
Hospitalist
1200 NW 23RD AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7074
TAMARA TIMMONS M.D.
Student in an Organized Health Care Education/Training Program
1200 NW 23RD AVE, LEGACY CLINIC GOOD SAMARITAN
PORTLAND, OR 97210
Multnomah County (503) 413-7074
MATTHEW GRACE
Internal Medicine (Critical Care Medicine)
1200 NW 23RD AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7074
KELLY DALE CARRIER
Internal Medicine
1200 NW 23RD AVE
PORTLAND, OR 97210
Multnomah County (503) 413-6892
MR. DAVID EHRMAN LCSW
Social Worker (Clinical)
1200 NW 23RD AVE
PORTLAND, OR 97210
Multnomah County (503) 413-6209
TAYLOR JAY DELAMARTER D.O.
Internal Medicine
1200 NW 23RD AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7074
MR. THATCHER MAC JONES M.D.
Internal Medicine
1200 NW 23RD AVE
PORTLAND, OR 97210
Multnomah County (541) 944-5462

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 Nicolette Bottesini's NPI number?

The NPI number for Nicolette Bottesini is 1114554037. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Nicolette Bottesini located?

Nicolette Bottesini practices at 1200 NW 23rd Ave, Portland, OR 97210. The listed phone number is (503) 413-7074.

What is Nicolette Bottesini's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicolette Bottesini enrolled in Medicare?

Yes. Nicolette Bottesini 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.

Which organizations bill Medicare for Nicolette Bottesini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolette Bottesini reassigns Medicare benefits to 3 organizations: Legacy Good Samaritan Hospital And Medical Center (Portland, OR), Legacy Clinics LLC (Portland, OR) and Legacy Emanuel Hospital & Health Center (Portland, OR). Each 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 Nicolette Bottesini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicolette Bottesini accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Nicolette Bottesini 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 Nicolette Bottesini affiliated with any hospitals?

According to CMS data, Nicolette Bottesini is affiliated with Legacy Emanuel Medical Center, Ohsu Hospital And Clinics and Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Nicolette Bottesini was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.