Jesse Cole Botker, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

52645 Issued in MN

Practice address

1431 Premier Dr
Mankato, MN 56001-6076

Phone

(507) 386-6600

Fax

(507) 625-5971

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

University of Minnesota, Duluth School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic and Fracture Clinic, P.a.Group PAC ID 7012986276, 32 clinicians

River'S Edge Hospital and ClinicGroup PAC ID 7214849397, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Windom Area Health Hospital, Windom, MN, CCN 241332
• River'S Edge Hospital & Clinic Hospital, St Peter, MN, CCN 241334
• Mayo Clinic Health System St. James Hospital, St James, MN, CCN 241333
• Sanford Westbrook Medical Center Hospital, Westbrook, MN, CCN 241302
• New Ulm Medical Center Hospital, New Ulm, MN, CCN 241378

Merit-based Incentive Payment System (MIPS)

Final score

89.57 of 100Reported as individual

Quality

81.03

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessebotker@ofc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopaedic & Fracture Clinic, P.a.

  • Orthopaedic Surgery Physician
  • Mankato, MN
  • NPI 1659346609

  MN, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• River'S Edge Hospital & Clinic

  • Critical Access Hospital
  • St Peter, MN
  • NPI 1407849367

  MN

  Medicare reassignment Care Compare group NPD
• Orthopaedic & Fracture Clinic P a

  • Durable Medical Equipment & Medical Supplies
  • Mankato, MN
  • NPI 1174565345
  Care Compare group
• River'S Edge Hospital & Clinic

  • Critical Access Hospital
  • St Peter, MN
  • NPI 1568447027
  Care Compare group
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allina Health System

  • Substance Use Disorder Rehabilitation Hospital Unit
  • New Ulm, MN
  • NPI 1346437720

  Hospital

  Care Compare affiliation
• Allina Health System

  • Clinic/Center
  • Winthrop, MN
  • NPI 1437344165

  Hospital

  Care Compare affiliation
• Allina Health System

  • Critical Access Hospital
  • New Ulm, MN
  • NPI 1558328435

  Hospital

  Care Compare affiliation
• Allina Health System

  • Family Medicine Physician
  • New Ulm, MN
  • NPI 1619911658

  Hospital

  Care Compare affiliation
• Mayo Clinic Health System-St James

  • Critical Access Hospital
  • Saint James, MN
  • NPI 1639198732

  Hospital

  Care Compare affiliation
• River'S Edge Hospital & Clinic

  • Critical Access Hospital
  • St Peter, MN
  • NPI 1407849367

  Hospital

  Care Compare affiliation
• Sanford Health Network

  • Critical Access Hospital
  • Westbrook, MN
  • NPI 1942253547

  Hospital

  Care Compare affiliation
• Windom Area Hospital

  • Critical Access Hospital
  • Windom, MN
  • NPI 1841288644

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1780887166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 PREMIER DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016076",
            "telephone_number": "507-386-6600",
            "fax_number": "507-625-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 PREMIER DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016076",
            "telephone_number": "507-386-6600",
            "fax_number": "507-625-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTKER",
        "first_name": "JESSE",
        "middle_name": "COLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "17798",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A107192",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "52645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1780887166",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "09-03588",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "1780887166",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL",
            "identifier": "1780887166",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1780887166",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL",
            "identifier": "138248000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MN",
            "identifier": "1780887166",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "1780887166",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "1780887166",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMSI",
            "identifier": "1780887166",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780887166",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Dean Borresen, RPH
• Jerome Borth, R.PH.
• Bosaso Translation Services & Interpretation
• Robert Bosse, D.O.
• Ryhlea Anne Boswell
• Keats Bovard
• Linda S Boylan-Starks, NP-C
• Janice Mary Boyum, MSLP
• Rebekah Bozeman
• Stephanie Bracken, MSN, RN

• All providers in Mankato, MN
• Orthopaedic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.