DR. JOSEPH BOTTALICO (D.O.) – Maternal & Fetal Medicine Physician, NPI 1538130653
Maternal & Fetal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,165 OBSTETRICS/GYNECOLOGY in TX
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Provider Addresses for DR. JOSEPH BOTTALICO (D.O.)
Odessa Post Office, 223, East Main Street, Odessa, Town of Catharine, Schuyler County, New York, 14869, United States
ODESSA, TX 797604123
Phone: (432) 582-2277
Fax: (432) 333-2802
Type: Mailing
420, East 6th Street, Original Town, Odessa, Ector County, Texas, 79761, United States
SUITE 202
ODESSA, TX 797614529
Phone: (432) 582-8757
Fax: (432) 582-8928
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: 2012-04-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100121000042 | I | Obstetrics/Gynecology | NJ | TBD |
| I20120411000260 | I | Obstetrics/Gynecology | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79760)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NJ | |
| Vascular Surgery | NJ | |
| Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists) | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Family Practice | NJ | |
| Physician Assistant | NJ | |
| - | NJ | |
| Internal Medicine, Gastroenterology | NJ | |
| Family Practice | NJ | |
| Internal Medicine, Gastroenterology | PA |
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