CAROLYN BOTROS (DO) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1003243361

CAROLYN BOTROS (DO) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 25MB09350900 (NJ). The NPI Number for CAROLYN BOTROS (DO) is 1003243361

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN BOTROS (DO)
NPI
1003243361
Phone
(484) 884-0661
Address
PO BOX 783311
Enumeration Date
2 October 2013
Last Update Date
17 October 2018

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
9739717440
Graduation Year
2011 (15 years ago)
PAC ID
9537462890
Group Practice PAC ID
5890703177
Professional Enrollment ID
I20220112000376
Address ID
NJ079606440MO435XXSTXX305
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:12State licenses:3Digital endpointsOther names

2,145 OBSTETRICS/GYNECOLOGY in PA

Provider Addresses for CAROLYN BOTROS (DO)

  • PO BOX 783311

    PHILADELPHIA, PA 191783311

    Phone: (484) 884-0661

    Fax: (484) 884-0628

    Type: Mailing

  • 1770 BATHGATE RD STE 401

    BETHLEHEM, PA 180177334

    Phone: (484) 884-8840

    Fax: (484) 884-8827

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $1,447.

Total Amount is formed as General ($1,447) + Research ($0) + Ownership ($0) = $1,447.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Medtronic, Inc. ($1,069).

Total Amount

$1,447

General + Research + Ownership

Payments

41

Total payment records

General Amount

$1,447

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2022-01-12

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
I20220112000376IObstetrics/GynecologyNJTBD

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
51701Insertion of temporary bladder tube165160$0
99213Established patient office or other outpatient visit, 20-29 minutes153113$0
99204New patient office or other outpatient visit, 45-59 minutes128128$0
99214Established patient office or other outpatient visit, 30-39 minutes10386$0
51797Insertion of device into abdomen with pressure and urine flow rate study3737$0
View full utilization report →

Insurance plans in this area (ZIP 19178)

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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: 5890703177View full group profile

Reviews

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Frequently asked questions

Is CAROLYN BOTROS (DO) listed with a National Provider Identifier?
Yes — CAROLYN BOTROS (DO) has NPI 1003243361 on file in the registry.
Is CAROLYN BOTROS (DO) still an active registrant?
CAROLYN BOTROS (DO) carries an active NPI according to the public dataset.
What kind of doctor is CAROLYN BOTROS (DO)?
CAROLYN BOTROS (DO) is associated with Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with CAROLYN BOTROS (DO)?
Directory geography for CAROLYN BOTROS (DO) centers on Philadelphia, Pennsylvania.
When was this NPI issued?
Enumeration for CAROLYN BOTROS (DO) is noted as October 2, 2013 where the registry provides it.

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