MARK EUGENE BOLDUC M.D.
NPI 1043226129
Surgery - Vascular Surgery in Waterville, ME

Q: What is Mark Bolduc's NPI number?

The NPI number for Mark Bolduc is 1043226129. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Mark Bolduc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Mark Bolduc was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 31, 2006PECOS Enrolled

325 KENNEDY MEMORIAL DR # B, WATERVILLE, ME 04901(207) 872-7171(207) 877-7268 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Mark Eugene Bolduc M.d. NPPES

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

MARK EUGENE BOLDUC M.D. (NPI 1043226129) is an individual vascular surgery provider in Waterville, Maine, licensed in Maine (011486) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043226129

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameMARK EUGENE BOLDUCCredential: M.D.

Location Address325 KENNEDY MEMORIAL DR # BWaterville, ME 04901-4517

Mailing Address325 Kennedy Memorial Dr # BWaterville, ME 04901-4517 · (207) 872-7171 · Fax (207) 877-7268

Phone(207) 872-7171

Fax(207) 877-7268

Sole ProprietorNo

Enumeration DateJuly 31, 2006

Last NPPES UpdateFebruary 21, 2014

✔ NPI 1043226129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in ME · 011486

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 011486 (ME)

325 KENNEDY MEMORIAL DR # B, Waterville, ME 04901

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Other Identifiers 6

OtherM101030ME · Cigna

Medicare UPINA58361ME

Other039918ME · Anthem Blue Cross

Medicare PIN01539102ME

Medicare ID-Type Unspecified015391ME

Medicare PIN01539101ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Eugene Bolduc M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Bolduc reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainegeneral Medical Center

14 mi

General Acute Care Hospital

35 MEDICAL CENTER PARKWAY
Augusta, ME 04330

Reassigned Medicare billing, Maine enrollment
978 clinicians in this Medicare group

NPI 1083949184 (207) 872-4454

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04901 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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.

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 Mark Bolduc's NPI number?

The NPI number for Mark Bolduc is 1043226129. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Mark Bolduc located?

Mark Bolduc practices at 325 Kennedy Memorial Dr # B, Waterville, ME 04901. The listed phone number is (207) 872-7171.

What is Mark Bolduc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Mark Bolduc enrolled in Medicare?

Yes. Mark Bolduc is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Bolduc's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Bolduc reassigns Medicare benefits to Mainegeneral Medical Center (Augusta, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Bolduc's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Bolduc was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.