MR. RANDY KYLE BOTTNER (MD) – Cardiovascular Disease Physician, NPI 1780673921

MR. RANDY KYLE BOTTNER (MD) is a healthcare provider. based in Savannah, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 035381 (GA). The NPI Number for MR. RANDY KYLE BOTTNER (MD) is 1780673921

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
MR. RANDY KYLE BOTTNER (MD)
NPI
1780673921
Phone
(912) 352-8700
Address
6301 ABERCORN ST
Enumeration Date
20 October 2005
Last Update Date
12 June 2015

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9123507020
Graduation Year
1981 (45 years ago)
PAC ID
4688684590
Group Practice PAC ID
3678836558
Professional Enrollment ID
I20100915000816
Address ID
GA314055701SA6301XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

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Provider Addresses for MR. RANDY KYLE BOTTNER (MD)

  • 6301, Abercorn Street, Habersham Woods, Savannah, Chatham County, Georgia, 31405, United States

    SAVANNAH, GA 314055701

    Phone: (912) 352-8700

    Fax: (912) 650-6805

    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 170 Open Payments records for all available years, with a total value of $3,688.

Total Amount is formed as General ($3,688) + Research ($0) + Ownership ($0) = $3,688.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($410).

Total Amount

$3,688

General + Research + Ownership

Payments

170

Total payment records

General Amount

$3,688

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060425000044ICardiovascular Disease (Cardiology)SCTBD
I20100915000816ICardiovascular Disease (Cardiology)GATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes645425$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function301299$0
99213Established patient office or other outpatient visit, 20-29 minutes178159$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days16265$0
J2785Injection, regadenoson, 0.1 mg14837$0
View full utilization report →

Insurance plans in this area (ZIP 31405)

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Provider's Procedures

MR. RANDY KYLE BOTTNER (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies2525
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin5446
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report9060

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678836558View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Radiation OncologyNC
O B S T E T R I C S/ G Y N E C O L O G YGA
Oral And Maxillofacial Pathology, Dentist, PathologyNC
Thoracic Surgery, General SurgeryIN
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerNC
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

What number should I use to identify MR. RANDY KYLE BOTTNER (MD) for billing?
Administrative and clinical systems typically use NPI 1780673921 for MR. RANDY KYLE BOTTNER (MD).
Quick check: is MR. RANDY KYLE BOTTNER (MD) active?
Public NPPES data shows MR. RANDY KYLE BOTTNER (MD) with an active NPI status right now.
Which specialty label fits MR. RANDY KYLE BOTTNER (MD)?
NPPES ties MR. RANDY KYLE BOTTNER (MD) to Cardiovascular Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MR. RANDY KYLE BOTTNER (MD) tied to Savannah, Georgia?
If you are local to Savannah, Georgia, MR. RANDY KYLE BOTTNER (MD) may be relevant to your search.
Can I export MR. RANDY KYLE BOTTNER (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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