Bothwell OB/GYN Associates – Obstetrics & Gynecology Physician, NPI 1902854037
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Bothwell OB/GYN Associates
PO BOX 801128
KANSAS CITY, MO 641801128
Phone: (660) 827-0015
Fax: (660) 827-7425
Type: Mailing
3700 W 10TH ST STE 100
SEDALIA, MO 653012540
Phone: (660) 827-0015
Fax: (660) 827-7425
Type: Location
Sedalia Post Office, 4195, West Douglas Avenue, Sedalia, Sedaila, Douglas County, Colorado, 80105, United States
601 E 14TH STREET
SEDALIA, MO 653021706
Phone: (660) 826-8833
Fax: (660) 827-3742
Type: Mailing
West 10th Street, Sedalia, Pettis County, Missouri, 65301, United States
SUITE 1
SEDALIA, MO 653012540
Phone: (660) 827-0015
Fax: (660) 827-7425
Type: Location
3401 W 10TH ST
SEDALIA, MO 653012112
Phone: (660) 827-0015
Fax: (660) 827-7425
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: 2020-10-23
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 |
|---|---|---|---|---|
| O20201023000575 | O | Rural Health Clinic | MO | 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 64180)
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