DANIEL BOTROS MD
NPI 1629538905
Orthopaedic Surgery in Lexington, KY
About Daniel Botros Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL BOTROS MD (NPI 1629538905) is an individual orthopaedic surgery provider in Lexington, Kentucky, licensed in Kentucky (59209) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and maintains a secondary practice location in Stony Brook.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Daniel Botros Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Daniel Botros reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lexington, KY 40536
- Reassigned Medicare billing, Kentucky enrollment
- 1,761 clinicians in this Medicare group
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 1,502 clinicians in this Medicare group
Martinsburg, WV 25401
- Reassigned Medicare billing, West Virginia enrollment
- 231 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Berkeley Medical Center
Acute Care Hospitals · Martinsburg, WVJefferson Medical Center
Critical Access Hospitals · Ranson, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
LEXINGTON, KY 40536
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 Daniel Botros's NPI number?
The NPI number for Daniel Botros is 1629538905. It was assigned to this individual provider in the NPPES registry on March 22, 2019.
Where is Daniel Botros located?
Daniel Botros practices at 740 S Limestone Ste D135, Lexington, KY 40536. The listed phone number is (859) 323-5533.
What is Daniel Botros's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Daniel Botros enrolled in Medicare?
Yes. Daniel Botros 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 Daniel Botros's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Botros reassigns Medicare benefits to 3 organizations: University Of Kentucky (Lexington, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY) and City Hospital Inc (Martinsburg, WV). 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 Daniel Botros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Daniel Botros accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Daniel Botros 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 Daniel Botros affiliated with any hospitals?
According to CMS data, Daniel Botros is affiliated with Berkeley Medical Center and Jefferson Medical Center.
When was this NPI record last updated?
The NPPES record for Daniel Botros was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Daniel Botros, MD · NPI 1629538905
Orthopaedic Surgery physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since March 22, 2019.
## Identity
- **NPI:** 1629538905 (Entity type: Individual)
- **Enumerated:** March 22, 2019
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 59209 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 740 S LIMESTONE STE D135, Lexington, KY 40536-0001
- **Phone:** (859) 323-5533 · **Fax:** (859) 257-3634
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Kentucky (NPI 1730225129, Lexington, KY); Kentucky Medical Services Foundation, Inc (NPI 1326091448, Lexington, KY); City Hospital Inc (NPI 1942503164, Martinsburg, WV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629538905) · Data from the CMS NPPES public registry.