DR. NICHOLAS BOTTARO D.O., M.H.S.A.
NPI 1396193611
Ophthalmology in Odessa, FL

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment
15123 OGDEN LOOP, ODESSA, FL 33556(860) 268-6617 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2021, May 31, 2021, Jun 18, 2020 (3 updates tracked since 2020).

About Dr. Nicholas Bottaro D.o., M.h.s.a. NPPES

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

DR. NICHOLAS BOTTARO D.O., M.H.S.A. (NPI 1396193611) is an individual ophthalmology provider in Odessa, Florida, licensed in Florida (OS14898) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Bradenton (2016).

NPPES Registry Identity

NPI1396193611
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. NICHOLAS BOTTAROCredential: D.O., M.H.S.A.
Location Address15123 OGDEN LOOPOdessa, FL 33556-4633
Mailing Address15123 Ogden LoopOdessa, FL 33556-4633
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, BradentonGraduated 2016
Enumeration DateMay 26, 2016
Last NPPES UpdateJanuary 30, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
NPI 1396193611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · OS14898
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License OS14898 (FL)
15123 OGDEN LOOP, Odessa, FL 33556

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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. Nicholas Bottaro D.o., M.h.s.a. 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 ID1557776838
PECOS Enrollment IDI20210218001851
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 15

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.

Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
139 services91 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
109 services78 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
50 services29 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
48 services48 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
47 services27 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
37 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33556 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 2

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

Ophthalmology
15123 OGDEN LOOP
ODESSA, FL 33556
Counselor (Mental Health)
15123 OGDEN LOOP
ODESSA, FL 33556

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 Nicholas Bottaro's NPI number?

The NPI number for Nicholas Bottaro is 1396193611. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Nicholas Bottaro located?

Nicholas Bottaro practices at 15123 Ogden Loop, Odessa, FL 33556. The listed phone number is (860) 268-6617.

What is Nicholas Bottaro's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nicholas Bottaro enrolled in Medicare?

Yes. Nicholas Bottaro 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 Nicholas Bottaro accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross and Blue Shield of Montana and 7 other insurers list Nicholas Bottaro 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 Nicholas Bottaro was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.