Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gregory W Botteron, MD

Individual provider Cardiovascular Disease Physician · NPI 1215933106

Dr. Gregory W Botteron, MD is a Cardiac Electrophysiology in Saint Louis, Missouri. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1989, 37 years ago. Practices with Mercy Clinic Heart and Vascular LLC, a 111-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
37
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4280 Mid America Ln Ste 10
Saint Louis, MO 63129-1202
Phone: (314) 842-0602
Fax: (314) 842-4372
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 7345 Watson Rd Ste Ll1, Saint Louis, MO 63119-9804 — (314) 842-0602
  • 1001 S Kirkwood Rd Ste 310, Saint Louis, MO 63122-7250 — (314) 842-0602
  • 10012 Kennerly Rd Ste 300, Saint Louis, MO 63128-2197 — (314) 842-0602
  • 10012 Kennerly Rd Ste 203a, Saint Louis, MO 63128-5107 — (314) 880-6622

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence MDR2P81 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence R2P81 (MO)

Record details

NPI number1215933106
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2005
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025
Mailing address4280 Mid America Ln Ste 10, Saint Louis, MO 63129-1202

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1989 (37 years in practice)
Group practice Mercy Clinic Heart And Vascular Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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