DR. QUINN D BOTT (MD, PHARMD) – Family Medicine Physician, NPI 1336572619

DR. QUINN D BOTT (MD, PHARMD) is a healthcare provider. based in Leavenworth, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD, PHARMD. They hold a License No. 18587 (NV). The NPI Number for DR. QUINN D BOTT (MD, PHARMD) is 1336572619

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. QUINN D BOTT (MD, PHARMD)
NPI
1336572619
Phone
(913) 682-8700
Address
1300 METROPOLITAN AVE
Enumeration Date
9 August 2013
Last Update Date
2 August 2023

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
9286692137
Graduation Year
2020 (6 years ago)
PAC ID
0345664157
Group Practice PAC ID
0244405629
Professional Enrollment ID
I20230821000087
Address ID
AZ853447718PA12033RDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for DR. QUINN D BOTT (MD, PHARMD)

  • 1300 METROPOLITAN AVE

    LEAVENWORTH, KS 660481254

    Phone: (913) 682-8700

    Fax: (913) 578-1009

    Type: Location

  • 9300 W SUNSET RD

    LAS VEGAS, NV 891484844

    Phone: (702) 916-5000

    Type: Mailing

  • 12033 AGENCY RD

    PARKER, AZ 853447718

    Phone: (928) 669-2137

    Type: Mailing

  • 1799 MOUNT MARIAH DR

    LAS VEGAS, NV 891061501

    Phone: (702) 383-1961

    Fax: (702) 319-6147

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-08-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230821000087IFamily PracticeTXTBD

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 minutes1817$0
99213Established patient office or other outpatient visit, 20-29 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 66048)

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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: 0244405629View full group profile
NameSpecialtyState
O P T O M E T R YFL
Nurse PractitionerSD
Diagnostic RadiologyTX
Emergency MedicineCA
O P T O M E T R YAZ
P O D I A T R YND
P O D I A T R YAZ
-CA
Emergency MedicineIN
-GA

Reviews

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Frequently asked questions

Where can patients find DR. QUINN D BOTT (MD, PHARMD)'s NPI?
You can confirm DR. QUINN D BOTT (MD, PHARMD) with NPI 1336572619; it appears in the national provider directory.
Is DR. QUINN D BOTT (MD, PHARMD) active in the national directory?
DR. QUINN D BOTT (MD, PHARMD)'s public NPI profile is in an active state.
Does DR. QUINN D BOTT (MD, PHARMD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. QUINN D BOTT (MD, PHARMD). Clinical services aligned with this taxonomy classification.
Does DR. QUINN D BOTT (MD, PHARMD) practice in Kansas?
You will see Leavenworth, Kansas on file for DR. QUINN D BOTT (MD, PHARMD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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