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GORDON BOLLES NP
NPI 1013538461
Nurse Practitioner in Buffalo, NY

Active since April 27, 2020PECOS EnrolledAccepts Medicare Assignment
87.14/100
CMS Quality Rating
100 HIGH ST, BUFFALO, NY 14203(716) 859-5600 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2021, Dec 29, 2020, Dec 16, 2020 and 1 more (4 updates tracked since 2020).

About Gordon Bolles Np NPPES

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

GORDON BOLLES NP (NPI 1013538461) is an individual nurse practitioner in Buffalo, New York, licensed in New York (309573) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013538461
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameGORDON BOLLESCredential: NP
Location Address100 HIGH STBuffalo, NY 14203-1126
Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-8235 · (716) 630-1219
Phone(716) 859-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 27, 2020
Last NPPES UpdateJanuary 21, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
✔ NPI 1013538461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 309573
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 309573 (NY)
100 HIGH ST, Buffalo, NY 14203
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12605 Harlem RdCheektowaga, NY 14225-4018 · Phone (716) 891-2400
Location 2565 Abbott RdBuffalo, NY 14220-2095 · Phone (716) 826-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gordon Bolles Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264854231
PECOS Enrollment IDI20200619001390
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
274 services67 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
51 services25 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
26 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.29
Promoting Interoperability100
Improvement Activities40
Cost74.86

Other Providers at the Same Location NPPES 20

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

MS. DENISE MARIE DONAHUE NURSE PRACTITIONER
Nurse Practitioner
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
GENERAL PHYSICIAN SUB II PLLC
Specialist
100 HIGH ST, RM C421
BUFFALO, NY 14203
Erie County (716) 859-7607
DR. MATTHEW KYLE MOSER MD
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 218-1000
MIAN MOHAMMAD HAMMAS MD
Hospitalist
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
DR. GUY SHEMESH DUNETZ MD
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
JILL FRASCO DO
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
THOMAS WILLIAM JORDAN D.O.
Emergency Medicine
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-1993
KIM HUBER
Registered Nurse (Registered Nurse First Assistant)
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-2741

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 Gordon Bolles's NPI number?

The NPI number for Gordon Bolles is 1013538461. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Where is Gordon Bolles located?

Gordon Bolles practices at 100 High St, Buffalo, NY 14203. The listed phone number is (716) 859-5600.

What is Gordon Bolles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gordon Bolles enrolled in Medicare?

Yes. Gordon Bolles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Gordon Bolles affiliated with any hospitals?

According to CMS data, Gordon Bolles is affiliated with Sisters Of Charity Hospital and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Gordon Bolles was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.