DR. KELLY N BOTTERON (MD) – Child & Adolescent Psychiatry Physician, NPI 1013952860

DR. KELLY N BOTTERON (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in Child & Adolescent Psychiatry Physician. They hold the professional credentials MD. They hold a License No. R3P75 (MO). The NPI Number for DR. KELLY N BOTTERON (MD) is 1013952860

Main info

Female
Name
DR. KELLY N BOTTERON (MD)
NPI
1013952860
Phone
(314) 286-1700
Address
4511 FOREST PARK AVE
Enumeration Date
17 June 2006
Last Update Date
15 November 2021

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. KELLY N BOTTERON (MD)

  • 4511 FOREST PARK AVE

    STE 4300

    SAINT LOUIS, MO 631082138

    Phone: (314) 286-1700

    Fax: (314) 408-2756

    Type: Mailing

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    C B 8134

    SAINT LOUIS, MO 631101010

    Phone: (314) 286-1700

    Fax: (314) 286-1777

    Type: Mailing

  • Forest Park Avenue, Midtown, City of Saint Louis, Missouri, 63108-3611, United States

    STE 2600

    SAINT LOUIS, MO 631082212

    Phone: (314) 286-1700

    Fax: (314) 286-1799

    Type: Location

  • 4444 FOREST PARK AVE

    STE 2600

    SAINT LOUIS, MO 631082212

    Phone: (314) 286-1700

    Fax: (314) 286-1777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $377.

Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.

Last reported payment date: 2024-11-30 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($377).

Total Amount

$377

General + Research + Ownership

Payments

2

Total payment records

General Amount

$377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-30

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 63108)

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Reviews

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Frequently asked questions

What identifier follows DR. KELLY N BOTTERON (MD) across health systems?
The NPI 1013952860 uniquely identifies DR. KELLY N BOTTERON (MD) in U.S. healthcare data.
Quick check: is DR. KELLY N BOTTERON (MD) active?
Public NPPES data shows DR. KELLY N BOTTERON (MD) with an active NPI status right now.
How should patients interpret DR. KELLY N BOTTERON (MD)'s specialty?
The extract shows Child & Adolescent Psychiatry Physician for DR. KELLY N BOTTERON (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. KELLY N BOTTERON (MD) in Saint Louis, Missouri?
For routing, start with Saint Louis, Missouri for DR. KELLY N BOTTERON (MD), then verify phone and hours locally.
Who maintains DR. KELLY N BOTTERON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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