DR. GREGORY W BOTTERON (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1215933106

DR. GREGORY W BOTTERON (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. R2P81 (MO). The NPI Number for DR. GREGORY W BOTTERON (M.D.) is 1215933106

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY W BOTTERON (M.D.)
NPI
1215933106
Phone
(314) 692-2807
Address
10012 KENNERLY RD
Enumeration Date
24 June 2005
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
3146922807
Graduation Year
1989 (37 years ago)
PAC ID
3779485289
Group Practice PAC ID
8820016207
Professional Enrollment ID
I20100215000279
Address ID
MO631282197SA10012RDXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

93 CARDIAC ELECTROPHYSIOLOGY in MO

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Provider Addresses for DR. GREGORY W BOTTERON (M.D.)

  • 10012, Kennerly Road, Sappington, Saint Louis County, Missouri, 63128, United States

    SUITE 202

    SAINT LOUIS, MO 631282197

    Phone: (314) 692-2807

    Fax: (314) 991-0727

    Type: Mailing

  • 10012 Kennerly Rd Ste 300

    Saint Louis, MO 631282197

    Phone: (314) 842-0602

    Fax: (314) 842-4372

    Type: Location

  • 10012 Kennerly Rd Ste 203A

    Saint Louis, MO 631285107

    Phone: (314) 880-6622

    Fax: (314) 525-1640

    Type: Location

  • 7345 Watson Rd Ste Ll1

    Saint Louis, MO 631199804

    Phone: (314) 842-0602

    Type: Location

  • 1001 S Kirkwood Rd Ste 310

    Saint Louis, MO 631227250

    Phone: (314) 842-0602

    Type: Location

  • 4280 MID AMERICA LN STE 10

    SAINT LOUIS, MO 631291202

    Phone: (314) 842-0602

    Fax: (314) 842-4372

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 231 Open Payments records for all available years, with a total value of $11,889.

Total Amount is formed as General ($11,889) + Research ($0) + Ownership ($0) = $11,889.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Abbott Laboratories ($7,322).

Total Amount

$11,889

General + Research + Ownership

Payments

231

Total payment records

General Amount

$11,889

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2010-02-15

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
I20100215000279ICardiac ElectrophysiologyMOTBD

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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report775397$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days723295$0
99213Established patient office or other outpatient visit, 20-29 minutes585381$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days492198$0
93295Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days235101$0
View full utilization report →

Insurance plans in this area (ZIP 63128)

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Provider's Procedures

DR. GREGORY W BOTTERON (M.D.) performs procedures in CARDIAC ELECTROPHYSIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC ELECTROPHYSIOLOGYMO93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report4034

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: 8820016207View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerKS
Nurse PractitionerMO
Cardiovascular Disease (Cardiology), Internal MedicineMO
Nurse PractitionerMO
-MO
Internal Medicine, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal MedicineMO
Nurse PractitionerMO
-MO

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Frequently asked questions

Is there an official ID for DR. GREGORY W BOTTERON (M.D.) in U.S. healthcare records?
The official identifier for DR. GREGORY W BOTTERON (M.D.) is NPI 1215933106.
Is DR. GREGORY W BOTTERON (M.D.) shown as active in public data?
Registry records indicate DR. GREGORY W BOTTERON (M.D.) maintains an active NPI.
What clinical focus is listed for DR. GREGORY W BOTTERON (M.D.)?
At a glance, DR. GREGORY W BOTTERON (M.D.) is tied to Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. GREGORY W BOTTERON (M.D.) associated with Saint Louis?
Public fields place DR. GREGORY W BOTTERON (M.D.) around Saint Louis, Missouri. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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