David Avery Bottger, MD
Individual provider Active NPI Plastic Surgery Physician · Newtown Square, PA
NPI 1013971209 · NPPES record last updated Feb 25, 2014
Key facts
- NPI
- 1013971209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- MD045572E (PA)
- Practice address
- 3855 W Chester Pike
Suite 230
Newtown Square, PA 19073-2304 - Phone
- (610) 355-1929
- Fax
- (610) 355-1926
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Temple University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3855 W Chester Pike
Suite 230
Newton Square, PA 19073-2304
3855 W Chester Pike
Suite 230
Newtown Square, PA 19074-2304
Phone (610) 355-1929
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 25 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050714000291 | PA | Practitioner - Plastic and Reconstructive Surgery |
7416983036 | Practice locations: Newtown Square, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David a. Bottger M.D. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD045572E | PA | Yes |
Addresses
Primary practice location
3855 W Chester Pike
Suite 230
Newtown Square, PA 19073-2304
Mailing address
3855 W Chester Pike
Suite 230
Newtown Square, PA 19073-2304
Phone (610) 355-1929
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000612038 | Other | PA | PA BLUE SHIELD |
| 0440161000 | Other | PA | KEYSTONE HEALTHPLAN |
| 1046353003 | Other | PA | CIGNA |
| 99581 | Other | PA | AETNA HEALTHCARE |
Other providers in Newtown Square, PA
- Linda Jane Bonsall
- Brandon Tyler Boon
- Bryan John Boosz
- Heather Borchert
- Jerome Anthony Boscia
- Catherine Maria Bowen
- Debra Lynne Boyd
- Tyler Boyd
- Shekiah Brabham
- Megan Bragg
All providers in Newtown Square, PA · Plastic Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.