DR. ELIZABETH ROSE BOTHAM (M.D.) – Dermatology Physician, NPI 1669732467
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,384 DERMATOLOGY in NY
Provider Addresses for DR. ELIZABETH ROSE BOTHAM (M.D.)
240 E 38TH ST
FLOOR 11- NYU MEDICAL CENTER
NEW YORK, NY 100162708
Phone: (212) 263-7148
Type: Mailing
108 BILBY RD
HACKETTSTOWN, NJ 078404174
Phone: (908) 509-1938
Fax: (908) 441-2402
Type: Location
1 SEYMOUR ST
MONTCLAIR, NJ 070423771
Phone: (973) 302-9585
Fax: (862) 357-8421
Type: Location
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 079222104
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($24).
Total Amount
$58
General + Research + Ownership
Payments
4
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $24 |
| Regeneron Healthcare Solutions, Inc. | $17 |
| ABBVIE INC. | $17 |
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: 2017-09-29
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 |
|---|---|---|---|---|
| I20170929000678 | I | Dermatology | NJ | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 128 | 31 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 91 | 73 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 62 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 46 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 60 | 49 | $0 |
Insurance plans in this area (ZIP 10016)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | NJ | |
| D E R M A T O L O G Y | NJ |
Reviews
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