THOMAS BOTSFORD MD
NPI 1184011108
Anesthesiology in Plymouth, MN

NPI Status: Active since April 16, 2015

Contact Information

14700 28TH AVE N STE 20
PLYMOUTH, MN
ZIP 55447
Phone: (763) 559-3779
Fax: (763) 450-3986

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  • Individual
  • Male
  • Years of Experience 11
  • Anesthesiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About THOMAS BOTSFORD

This page provides the complete NPI Profile along with additional information for Thomas Botsford, an anesthesiologist established in Plymouth, Minnesota with a medical specialization in Anesthesiology and more than 11 years of experience. He graduated from University Of North Dakota School Of Medicine in 2015. The healthcare provider is registered in the NPI registry with number 1184011108 assigned on April 2015. The practitioner's primary taxonomy code is 207L00000X with license number 65529 (MN). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1184011108
Provider Name
THOMAS BOTSFORD MD
Gender
Male
Entity Type
Individual
Location Address
14700 28TH AVE N STE 20 PLYMOUTH, MN 55447
Location Phone
(763) 559-3779
Location Fax
(763) 450-3986
Mailing Address
PO BOX 47159 PLYMOUTH, MN 55447
Mailing Phone
(763) 559-3779
Mailing Fax
(763) 450-3986
Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year
2015
Is Sole Proprietor?
Yes
Enumeration Date
04-16-2015
Last Update Date
06-06-2019
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An anesthesiologist like Thomas Botsford manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Location Map

Secondary Locations

  • 9500 Euclid Ave
    Cleveland, OH 44195
    (216) 444-2200

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
65529
License State
MN
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

(OH)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Thomas Botsford is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Thomas Botsford is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9830479369

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190619002589

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 14 times for 13 patients

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 23 times for 23 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 13 times for 12 patients

Anesthesia for other procedure on upper abdomen

Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.

This service was performed 11 times for 11 patients

Anesthesia for total hip replacement

Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.

This service was performed 14 times for 14 patients

Insertion of artery tube for blood sampling or infusion through skin

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

This service was performed 17 times for 17 patients

Ultrasonic guidance for needle placement

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

This service was performed 21 times for 21 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Thomas Botsford is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PARK NICOLLET METHODIST HOSPITAL6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN 55426
(952) 993-5000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184011108
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2116401210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 0 + 1 + 2 + 1 + 0 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1184011108 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588778179DR. KELLY B. KROMER MD
Individual
Anesthesiology14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 852-0435
1306993100 JASON OLINGER MD
Individual
Anesthesiology14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(952) 428-2477
1386633576DR. ANDREW SEDIVY MD
Individual
Anesthesiology14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 852-0435
1326483132 DRAGANA URDAREVIK MD
Individual
Anesthesiology14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 852-0435
1477072247 JOSHUA MICHAEL KENZIE CRNA
Individual
Nurse Anesthetist, Certified Registered14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 852-0435
1073013462 DILLON JOSEPH DRYJA CRNA
Individual
Nurse Anesthetist, Certified Registered14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 852-0411
1376869917 JOHN D JOCHMAN M.D.
Individual
Anesthesiology14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779
1487882395 ADAM D. CURRIER MD
Individual
Anesthesiology14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779
1831618859 ANDREW PAUL DICKMAN
Individual
Nurse Anesthetist, Certified Registered14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779
1407375967 ADAM JOSEPH DICKMAN CRNA
Individual
Nurse Anesthetist, Certified Registered14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779
1114438488MR. JOHN A CAMBEST CRNA
Individual
Nurse Anesthetist, Certified Registered14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 852-0435
1841618154 THOMAS ESSER D.O.
Individual
Anesthesiology14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779
1750797551 MATTHEW MOLDAN M.D.
Individual
Anesthesiology14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779
1770901803DR. MICHAEL JAMES POTTER M.D.
Individual
Anesthesiology14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779
1164764585 KRISTIN ELISE CLARK MD
Individual
Anesthesiology14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779
1801370358 LEAH MOORE
Individual
Nurse Anesthetist, Certified Registered14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779
1821090564 KARIN KENYON CRNA
Individual
Nurse Anesthetist, Certified Registered14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779
1609361609 ASHLEY ANN DICK
Individual
Nurse Anesthetist, Certified Registered14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779
1558335562 MELANIE A HALL CRNA
Individual
Nurse Anesthetist, Certified Registered14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779
1083151591 MOWOH A ENDELEY CRNA
Individual
Nurse Anesthetist, Certified Registered14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
(763) 559-3779

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184011108, enumerated in the NPI registry as an "individual" on April 16, 2015

The provider is located at 14700 28th Ave N Ste 20 Plymouth, Mn 55447 and the phone number is (763) 559-3779

The provider's speciality is Anesthesiology with taxonomy code 207L00000X

The provider has more than 11 years of experience. He graduated from University Of North Dakota School Of Medicine in 2015.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Anesthesia for lens surgery, Anesthesia for lens surgery, Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope, Anesthesia for other procedure on upper abdomen, Anesthesia for total hip replacement, Insertion of artery tube for blood sampling or infusion through skin and Ultrasonic guidance for needle placement.

The practitioner is affiliated to the following hospital(s): PARK NICOLLET METHODIST HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 16, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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