DR. JASON D BOTHWELL (M.D.) – Emergency Medicine Physician, NPI 1760548754
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,050 EMERGENCY MEDICINE in TX
Provider Addresses for DR. JASON D BOTHWELL (M.D.)
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 984311000
Phone: (808) 286-0208
Type: Mailing
BROOKE ARMY MEDICAL CENTER
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 782347820
Phone: (808) 286-0208
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: 2023-01-25
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 |
|---|---|---|---|---|
| I20120328000527 | I | Emergency Medicine | WA | TBD |
| I20230125003496 | I | Emergency Medicine | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Emergency Medicine | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine | LA | |
| Family Practice, Emergency Medicine | TX | |
| Physician Assistant | KS | |
| Emergency Medicine, Undersea And Hyperbaric Medicine | TX | |
| Emergency Medicine | TX |
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