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DR. SCOTTY L BOLDING DDS
NPI 1013064310
Dentist - Oral and Maxillofacial Surgery in Rogers, AR

Active since January 05, 2007Opted out of Medicare · through Feb 1, 2028
3333 S PINNACLE HILLS PKWY STE 140, ROGERS, AR 72758(479) 755-3000(479) 616-1914 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2023, Oct 11, 2022, Jun 7, 2022 and 4 more (7 updates tracked since 2019).

About Dr. Scotty L Bolding Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTTY L BOLDING DDS (NPI 1013064310) is an individual oral and maxillofacial surgery provider in Rogers, Arkansas, licensed in Arkansas (3025) and active in the NPI registry since January 2007. He has opted out of Medicare through February 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013064310
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SCOTTY L BOLDINGCredential: DDS
Location Address3333 S PINNACLE HILLS PKWY STE 140Rogers, AR 72758-8953
Mailing AddressPo Box 4185Fayetteville, AR 72702-4185 · (479) 582-3000 · Fax (479) 927-3085
Phone(479) 755-3000
Fax(479) 616-1914
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateMay 12, 20237 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1013064310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in AR · 3025✔ Licensed in NJ · 22D102335600✔ Licensed in TX · 16037✔ Licensed in FL · DN22477
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 22D102335600 (NJ), 2001031902 (MO), 3025 (AR), DN22477 (FL), 16037 (TX)
3333 S PINNACLE HILLS PKWY STE 140, Rogers, AR 72758
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arkansas, Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Scotty L Bolding Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2016 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2016
Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW C JOHNSON DDS, MDS, CDT
Dentist (Prosthodontics)
3333 S PINNACLE HILLS PKWY STE 140
ROGERS, AR 72758
Benton County (479) 755-3000
PRECIDENT, PLLC
Dentist (Oral and Maxillofacial Surgery)
3333 S PINNACLE HILLS PKWY STE 140
ROGERS, AR 72758
Benton County (479) 755-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scotty Bolding's NPI number?

The NPI number for Scotty Bolding is 1013064310. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Scotty Bolding located?

Scotty Bolding practices at 3333 S Pinnacle Hills Pkwy Ste 140, Rogers, AR 72758. The listed phone number is (479) 755-3000.

What is Scotty Bolding's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Scotty Bolding enrolled in Medicare?

No. Scotty Bolding has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Scotty Bolding accept?

Health plans from Delta Dental of Arkansas and Humana list Scotty Bolding as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scotty Bolding was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.