Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SERGIU BOTOLIN M.D., PH.D.
NPI 1265699656
Orthopaedic Surgery in Colorado Springs, CO

Active since May 22, 2008PECOS Enrolled
97.58/100
CMS Quality Rating
6011 E WOODMEN RD STE 345, COLORADO SPRINGS, CO 80923(719) 300-8157(719) 300-8148 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 16, 2022, Jan 20, 2022, Dec 15, 2021 and 1 more (4 updates tracked since 2016).

About Sergiu Botolin M.d., Ph.d. NPPES

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

SERGIU BOTOLIN M.D., PH.D. (NPI 1265699656) is an individual orthopaedic surgery provider in Colorado Springs, Colorado, licensed in Colorado (52654) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1265699656
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSERGIU BOTOLINCredential: M.D., PH.D.
Location Address6011 E WOODMEN RD STE 345Colorado Springs, CO 80923-2606
Mailing Address6011 E Woodmen Rd Ste 345Colorado Springs, CO 80923-2606 · (719) 300-8157 · Fax (719) 300-8148
Fax(719) 300-8148
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 22, 2008
Last NPPES UpdateOctober 22, 20264 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1265699656 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 CO · 52654
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.
6011 E WOODMEN RD STE 345, Colorado Springs, CO 80923

Other Identifiers 1

Medicaid38812525CO

Accepted 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

Sergiu Botolin M.d., Ph.d. 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 ID4688818164
PECOS Enrollment IDI20160921002841
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 Sergiu Botolin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group

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 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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
91 services91 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.
67 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80923 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Internal Medicine (Cardiovascular Disease)
6011 E WOODMEN RD STE 345
COLORADO SPRINGS, CO 80923

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 Sergiu Botolin's NPI number?

The NPI number for Sergiu Botolin is 1265699656. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Sergiu Botolin located?

Sergiu Botolin practices at 6011 E Woodmen Rd Ste 345, Colorado Springs, CO 80923. The listed phone number is (719) 300-8157.

What is Sergiu Botolin's specialty?

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

Is Sergiu Botolin enrolled in Medicare?

Yes. Sergiu Botolin 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 organization bills Medicare for Sergiu Botolin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergiu Botolin reassigns Medicare benefits to Poudre Valley Medical Group, LLC (Loveland, CO). 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 Sergiu Botolin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergiu Botolin accept?

Health plans from Select Health list Sergiu Botolin 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 Sergiu Botolin was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.