KATHLEEN M BOTTUM M.D.
NPI 1124003025
Psychiatry & Neurology - Psychiatry in Springfield, IL

Q: What is Kathleen Bottum's NPI number?

The NPI number for Kathleen Bottum is 1124003025. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Q: What is Kathleen Bottum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Bottum was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 13, 2005PECOS Enrolled

751 N RUTLEDGE ST STE 1700, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-8163 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 20, 2020, Sep 26, 2018, Sep 4, 2018 (3 updates tracked since 2018).

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About Kathleen M Bottum M.d. NPPES

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

KATHLEEN M BOTTUM M.D. (NPI 1124003025) is an individual psychiatry provider in Springfield, Illinois, licensed in Illinois (036-106742) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124003025

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameKATHLEEN M BOTTUMCredential: M.D.

Location Address751 N RUTLEDGE ST STE 1700Springfield, IL 62702

Mailing AddressPo Box 19642Springfield, IL 62794-9642 · (217) 545-8000 · Fax (217) 545-8163

Phone(217) 545-8000

Fax(217) 545-8163

Sole ProprietorNo

Enumeration DateDecember 13, 2005

Last NPPES UpdateOctober 20, 20203 updates tracked since enumeration

NPPES CertifiedOctober 20, 2020

✔ NPI 1124003025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IL · 036-106742

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036-106435 (IL)

Also ListedPsychiatry & Neurology · Psychosomatic MedicineTaxonomy 2084P0015X · License 036-106742 (IL)

751 N RUTLEDGE ST STE 1700, Springfield, IL 62702

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Other Identifiers 1

Medicaid036106435IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen M Bottum M.d. 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 Reassignments

Medicare enrollment records show Kathleen Bottum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siu Physicians & Surgeons, Inc

0.3 mi

Endocrinology, Diabetes & Metabolism

201 E MADISON ST STE 328
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
645 clinicians in this Medicare group

NPI 1558385989 (217) 545-8000

Board Of Trustees Of Southern Illinois University

0.8 mi

Primary Care

520 N 4TH ST
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
262 clinicians in this Medicare group

NPI 1396097960 (217) 757-8100

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 62702 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

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers12 claims24 services$5.61 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers12 claims72 services$2.06 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims16 services$17.96 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers28 claims28 services$92.14 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.

DR. LINDA PONCE ROSAS MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)