KATHLEEN M. BOETTCHER (PA-C) – Medical Physician Assistant, NPI 1669472551
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for KATHLEEN M. BOETTCHER (PA-C)
3970 DEPUTY BILL CANTREL MEMOIRAL RD
CUMMING, GA 30040
Phone: (678) 513-2273
Fax: (678) 513-8869
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,614.
Total Amount is formed as General ($1,614) + Research ($0) + Ownership ($0) = $1,614.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($189).
Total Amount
$1,614
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,614
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $189 |
| HeartFlow, Inc. | $151 |
| Medtronic, Inc. | $128 |
| Merck Sharp & Dohme LLC | $118 |
| Abbott Laboratories | $116 |
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: 2012-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (889 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20121211000536 | I | Physician Assistant | GA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 280 | 207 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 261 | 205 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 177 | 140 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 76 | 59 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $0 |
Insurance plans in this area (ZIP 30040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| Physician Assistant | GA | |
| Advanced Heart Failure And Transplant Cardiology | GA | |
| Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Cardiovascular Disease (Cardiology) | TN | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA |
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