RONALD J BOTELHO (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1235199373
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,371 ANESTHESIOLOGY in CA
Provider Addresses for RONALD J BOTELHO (M.D.)
PO BOX 14578
SANTA ROSA, CA 954026578
Phone: (707) 569-3230
Fax: (707) 523-0119
Type: Mailing
1221 Farmers Ln
SUITE 500
Santa Rosa, CA 954056712
Phone: (707) 569-3230
Fax: (707) 523-0119
Type: Location
14440 Olympic Dr
Clearlake, CA 954228809
Phone: (707) 533-2760
Fax: (707) 461-5103
Type: Location
PO BOX 1950
LAKEPORT, CA 954531950
Phone: (707) 263-8382
Fax: (707) 263-1909
Type: Mailing
925 BEVINS CT
LAKEPORT, CA 954539754
Phone: (707) 263-8382
Fax: (707) 263-1909
Type: Location
1221, Farmers Lane, Montgomery Village, Santa Rosa, Sonoma County, California, 95405, United States
SUITE 500
SANTA ROSA, CA 954056712
Phone: (707) 569-3230
Fax: (707) 523-0119
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $378.
Total Amount is formed as General ($378) + Research ($0) + Ownership ($0) = $378.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: SPR Therapeutics, Inc ($354).
Total Amount
$378
General + Research + Ownership
Payments
3
Total payment records
General Amount
$378
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SPR Therapeutics, Inc | $354 |
| Abbott Laboratories | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-01-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090129000268 | I | Anesthesiology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 95402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| Family Practice | CA | |
| Physical Medicine And Rehabilitation | CO | |
| Marriage And Family Therapist | CA | |
| Family Practice | CA | |
| O P H T H A L M O L O G Y | IA | |
| Clinical Social Worker | MD | |
| - | CA | |
| Clinical Social Worker | CA | |
| Physician Assistant | CA |
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