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Active NPI 1407302003 Individual Practitioner Male Practitioner

Dr. Kory Botelho , OD

Optometrist • Tukwila, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kory Botelho, OD is a certified Optometrist practicing in Tukwila, WA. With approximately 10 years of clinical experience since graduating from Pacific University - College Of Optometry in 2016, Dr. Botelho delivers high-quality medical care to the local community at 411 STRANDER BLVD STE 202.

Dr. Botelho is affiliated with Max Vision Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient complete exam of visual system, 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

411 Strander Blvd Ste 202

Tukwila, WA 981882959

Telephone 2065754396
Fax 2065754396
Associated Practice Facility / Clinic
🏢 Max Vision Pllc Facility NPI 1518560184

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Tukwila, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -8.0 yrs vs City Avg
City Avg: 18.0 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Tukwila, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Botelho (10 Years) 10 Yrs
Tukwila Specialty Average (18.0 Years) 18.0 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
92250 Photography of the retina
65 63 $95.07 $41.39
92014 Established patient complete exam of visual system
54 54 $180.00 $139.45
99213 Established patient office or other outpatient visit, typically 15 minutes
28 20 $176.10 $100.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
22 20 $210.78 $140.97

Medical Specialties & State Licenses

CMS Verified: 2022-01-05
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA 60660393

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Max Vision Pllc

5920 100th St Sw, Lakewood, WA 984992751

Phone: 2535841777

Max Vision Pllc

411 Strander Blvd, Tukwila, WA 981882959

Phone: 2065754396

Max Vision Pllc

5920 100th St, Lakewood, WA 984992751

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1578567483

Doctor of Optometry

NPI 1912844051

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 21, 2022

Registered at 411 STRANDER BLVD STE 202, TUKWILA, WA 981882959 (Tel: 2065754396)

📍
Updated Business Mailing Address June 21, 2022

Registered at 411 STRANDER BLVD STE 202, TUKWILA, WA 981882959 (Tel: 2065754396)

NPI Profile Active September 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2016

Registered at 14517 NE 3RD ST, BELLEVUE, WA 980074906 (Tel: 5037075836)

📍
Updated Business Mailing Address September 01, 2016

Registered at 14517 NE 3RD ST, BELLEVUE, WA 980074906 (Tel: 5037075836)

👤
Provider Name / Credentials Updated September 01, 2016

Recorded as KORY BOTELHO, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2016

Optometrist (License #60660393 in WA)

🟢
Initial NPI Registration & Enumeration September 01, 2016

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: 1407302003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2016
Last Update: June 21, 2022
Sole Proprietor: Yes

Mailing Address

411 Strander Blvd Ste 202

Tukwila, WA 981882959

Phone: 2065754396

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.