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ROBERT DEANE BOLTON M.D.
NPI 1063738631
Pediatrics in Fairchild Afb, WA

Active since April 07, 2010PECOS Enrolled
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011(509) 247-9043 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2023, Nov 25, 2022, May 23, 2019 (3 updates tracked since 2019).

About Robert Deane Bolton M.d. NPPES

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

ROBERT DEANE BOLTON M.D. (NPI 1063738631) is an individual pediatrics provider in Fairchild Afb, Washington, licensed in New Mexico (MD2013-0296) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063738631
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameROBERT DEANE BOLTONCredential: M.D.
Location Address701 HOSPITAL LOOPFairchild Afb, WA 99011-8704
Mailing AddressLandstuhl Regional Medical Center Unit 33100Apo, AE 09180-3100 · (314) 590-7700
Phone(509) 247-9043
Sole ProprietorNo
Enumeration DateApril 7, 2010
Last NPPES UpdateAugust 11, 20233 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1063738631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NM · MD2013-0296✔ Licensed in IN · 1063738631
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
701 HOSPITAL LOOP, Fairchild Afb, WA 99011
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Deane Bolton 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99011 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

CINDY T FINKE ARNP
Nurse Practitioner
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Spokane County (509) 247-5661
DR. CARRIE L LUCAS
Social Worker (Clinical)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Spokane County (509) 247-2361
DR. MAI LIEN PHAM D.O
Internal Medicine
701 HOSPITAL LOOP
FAIRCHILD AIR FORCE BASE, WA 99011
Spokane County (509) 247-5755
DANIEL MICHAEL NORMANDIN PA-C
Physician Assistant
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Spokane County (509) 247-5661
JAMES SCOT FITE FNP-BC
Nurse Practitioner (Family)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Spokane County (509) 247-2361
92D MEDGRP-FAIRCHILD
Clinic/Center (Military/U.S. Coast Guard Outpatient)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Spokane County (509) 247-9264
ALYSE MARIE CARLSON M.D.
Pediatrics
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Spokane County (247) 509-9898
CATHERINE RAMIG
Nurse Practitioner (Family)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Spokane County (509) 247-5755

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 Robert Bolton's NPI number?

The NPI number for Robert Bolton is 1063738631. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Where is Robert Bolton located?

Robert Bolton practices at 701 Hospital Loop, Fairchild Afb, WA 99011. The listed phone number is (509) 247-9043.

What is Robert Bolton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Robert Bolton enrolled in Medicare?

Yes. Robert Bolton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Bolton was last updated on August 11, 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.