Active NPI 1457506347 Individual Practitioner Male Practitioner

Dr. Jonathan D Botts , MD

Specialist • Sherman Oaks, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Botts, MD is a certified Specialist practicing in Sherman Oaks, CA. With approximately 21 years of clinical experience since graduating from State University Of New York At Stony Brook, School Of Medicine in 2005, Dr. Botts delivers high-quality medical care to the local community at 4955 VAN NUYS BLVD.

Dr. Botts is affiliated with Domenick J Sisto M D Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration and/or injection of fluid large joint using ultrasound guidance, hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4955 Van Nuys Blvd
Suite 615

Sherman Oaks, CA 914031801

Telephone 8189052222

Fax 8189058702

Associated Practice Facility / Clinic

🏢 Kidney Center Of Sherman Oaks, Inc. Facility NPI 1710923677

Medicare Profile & Education

Medical School

State University Of New York At Stony Brook, School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Sherman Oaks, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -13.2 yrs vs City Avg

City Avg: 34.2 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

22 Specialists

Practicing in Sherman Oaks, CA (6446 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Botts (21 Years) 21 Yrs

Sherman Oaks Specialty Average (34.2 Years) 34.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	236	52	$254.24	$90.09
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	193	23	$181.87	$72.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	58	$325.00	$138.64
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	72	36	$65.00	$6.89
73562 X-ray of knee, 3 views	47	32	$70.00	$46.78
73030 X-ray of shoulder, minimum of 2 views	44	30	$75.00	$39.75
99213 Established patient office or other outpatient visit, typically 15 minutes	44	34	$250.00	$98.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$450.00	$179.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$350.00	$119.81
73502 X-ray of hip, 2-3 views	19	17	$85.00	$54.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	164	43	$250.00	$93.26
99213 Established patient office or other outpatient visit, typically 15 minutes	120	79	$251.67	$98.35
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	107	16	$180.00	$73.21
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	49	34	$65.00	$6.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$350.00	$121.55
73030 X-ray of shoulder, minimum of 2 views	34	23	$75.00	$39.95
73562 X-ray of knee, 3 views	28	20	$70.00	$47.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$325.00	$138.87
73502 X-ray of hip, 2-3 views	21	13	$85.00	$54.41
73130 X-ray of hand, minimum of 3 views	12	11	$80.00	$42.81
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$140.00	$59.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	936	13	$50.00	$29.91
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	169	45	$261.83	$98.38
99213 Established patient office or other outpatient visit, typically 15 minutes	84	53	$181.25	$100.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	65	33	$59.77	$6.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	51	$253.07	$138.86
73562 X-ray of knee, 3 views	45	27	$70.00	$47.95
73030 X-ray of shoulder, minimum of 2 views	44	28	$75.00	$40.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$182.29	$122.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$297.83	$182.81
73502 X-ray of hip, 2-3 views	12	11	$85.00	$55.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	2,426	37	$50.00	$31.67
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	142	61	$255.28	$97.66
99213 Established patient office or other outpatient visit, typically 15 minutes	85	65	$152.65	$101.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	64	$178.95	$143.61
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	68	39	$33.38	$6.89
73562 X-ray of knee, 3 views	53	37	$70.00	$47.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$175.00	$124.38
73030 X-ray of shoulder, minimum of 2 views	52	35	$75.00	$39.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$250.00	$184.79
73502 X-ray of hip, 2-3 views	20	15	$85.00	$54.49
73130 X-ray of hand, minimum of 3 views	15	13	$80.00	$42.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	1,152	17	$50.00	$33.23
99213 Established patient office or other outpatient visit, typically 15 minutes	113	78	$150.00	$83.79
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	106	52	$287.74	$106.95
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	92	41	$15.00	$7.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$175.00	$118.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	44	$175.00	$119.36
73562 X-ray of knee, 3 views	49	37	$70.00	$44.72
73030 X-ray of shoulder, minimum of 2 views	44	33	$75.00	$38.27
73502 X-ray of hip, 2-3 views	34	20	$85.00	$52.62
73610 X-ray of ankle, minimum of 3 views	22	13	$75.00	$40.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	19,659	24	$2.53	$2.30
99213 Established patient office or other outpatient visit, typically 15 minutes	233	147	$150.00	$82.25
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	162	57	$347.22	$119.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$173.23	$117.57
73562 X-ray of knee, 3 views	88	57	$70.00	$43.17
73030 X-ray of shoulder, minimum of 2 views	79	52	$75.00	$34.71
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	74	34	$15.00	$6.78
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	57	15	$557.46	$261.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	43	$175.00	$120.50
73502 X-ray of hip, 2-3 views	33	28	$85.00	$49.74
73110 X-ray of wrist, minimum of 3 views	21	11	$75.00	$42.35
73610 X-ray of ankle, minimum of 3 views	18	13	$75.00	$38.56
73080 X-ray of elbow, minimum of 3 views	18	13	$90.00	$34.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$250.00	$180.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	16,968	28	$2.53	$2.30
99213 Established patient office or other outpatient visit, typically 15 minutes	303	169	$150.00	$77.65
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	175	94	$304.29	$104.17
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	111	59	$14.46	$7.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$174.31	$114.66
73562 X-ray of knee, 3 views	88	54	$70.00	$39.75
73030 X-ray of shoulder, minimum of 2 views	67	42	$75.00	$32.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	43	$175.00	$114.79
73502 X-ray of hip, 2-3 views	46	29	$85.00	$46.10
73630 X-ray of foot, minimum of 3 views	29	14	$75.00	$32.49
73130 X-ray of hand, minimum of 3 views	28	21	$80.00	$35.36
73560 X-ray of knee, 1-2 views	21	16	$65.00	$34.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$247.00	$174.03
73080 X-ray of elbow, minimum of 3 views	12	12	$90.00	$34.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$400.00	$141.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	11,930	20	$2.60	$2.31
99213 Established patient office or other outpatient visit, typically 15 minutes	308	171	$150.00	$77.19
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	214	82	$272.43	$90.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	77	$175.00	$113.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$153.83	$114.46
73562 X-ray of knee, 3 views	85	59	$70.00	$39.08
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	79	17	$275.00	$147.30
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	73	51	$7.74	$6.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	66	$400.00	$139.72
73030 X-ray of shoulder, minimum of 2 views	65	44	$75.00	$31.85
73110 X-ray of wrist, minimum of 3 views	47	24	$75.00	$39.10
73502 X-ray of hip, 2-3 views	44	32	$85.00	$45.81
73560 X-ray of knee, 1-2 views	26	16	$65.00	$32.82
73610 X-ray of ankle, minimum of 3 views	24	14	$75.00	$34.70
73630 X-ray of foot, minimum of 3 views	21	14	$75.00	$31.89
27245 Treatment of broken neck of thigh bone with bone implant	19	19	$4100.00	$1299.69
73080 X-ray of elbow, minimum of 3 views	17	13	$90.00	$34.42
J1020 Injection, methylprednisolone acetate, 20 mg	15	13	$15.00	$5.08
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$300.00	$104.51

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A 117042

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad

DA0572 (CA)

Hospital & Practice Group Affiliations

Domenick J Sisto M D Inc

4955 Van Nuys Blvd, Sherman Oaks, CA 914031839

Phone: 8189052222205

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dominique Sisto , PA-C

Physician Assistant

NPI 1225431992

Physician Assistant (Certified)

Dr. Gregg Sobeck , MD

Specialist

NPI 1417912270

Doctor of Medicine (M.D.)

Dr. Alireza Nazemi , MD, MS

Orthopaedic Surgery - Sports Medicine

NPI 1447756721

Doctor of Medicine (M.D.), Master of Science

Dr. Domenick Sisto , MD

Specialist

NPI 1568427029

Doctor of Medicine (M.D.)

Coury Clemens , PA

Physician Assistant

NPI 1609137249

Physician Assistant

Kathy Dao , PA-C

Physician Assistant

NPI 1699466102

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 02, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 02, 2012

Registered at 4955 VAN NUYS BLVD, SUITE 615, SHERMAN OAKS, CA 914031801 (Tel: 8189052222)

📍

Updated Business Mailing Address August 02, 2012

Registered at 4955 VAN NUYS BLVD, SUITE 615, SHERMAN OAKS, CA 914031801 (Tel: 8189052222)

👤

Provider Name / Credentials Updated August 02, 2012

Recorded as JONATHAN BOTTS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2012

Specialist (License #A 117042 in CA)

🟢

Initial NPI Registration & Enumeration November 19, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457506347

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 19, 2008

Last Update: August 02, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4955 Van Nuys Blvd, Suite 615

Sherman Oaks, CA 914031801

Phone: 8189052222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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