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DR. BRIAN DANIEL BOLTON M.D.
NPI 1073761128
Pathology - Anatomic Pathology & Clinical Pathology in Chicago, IL

Active since September 03, 2008PECOS EnrolledAccepts Medicare Assignment
90/100
CMS Quality Rating
303 E CHICAGO AVE, WARD6-204, CHICAGO, IL 60611(312) 503-8144 Get Directions Write a Review

NPPES record last updated: September 3, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Brian Daniel Bolton M.d. NPPES

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

DR. BRIAN DANIEL BOLTON M.D. (NPI 1073761128) is an individual anatomic pathology & clinical pathology provider in Chicago, Illinois, licensed in Illinois (125-049094) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of University Of Michigan Medical School (2005).

NPPES Registry Identity

NPI1073761128
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. BRIAN DANIEL BOLTONCredential: M.D.
Location Address303 E CHICAGO AVE, WARD6-204Chicago, IL 60611-4296
Mailing Address303 E Chicago Ave, Ward6-204Chicago, IL 60611-4296 · (312) 503-8144
Phone(312) 503-8144
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2005
Enumeration DateSeptember 3, 2008
✔ NPI 1073761128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in IL · 125-049094
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
303 E CHICAGO AVE, Chicago, IL 60611
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Daniel Bolton M.d. 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 ID8527237122
PECOS Enrollment IDI20110817000180
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 Brian Bolton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arlington Ridge Pathology Sc
22 mi
Anatomic Pathology & Clinical Pathology
800 W CENTRAL RD
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
NPI 1699774059 (847) 618-1000

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

Areas of Expertise CMS Part B claims 13

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,996 services845 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
211 services181 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
143 services45 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
114 services113 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
94 services62 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
79 services71 patients

Hospital Affiliations CMS Care Compare

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

90/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40

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.

DR. JAIME GRUTZENDLER MD
Psychiatry & Neurology (Neurology)
303 E CHICAGO AVE, WARD # 10-132
CHICAGO, IL 60611
Cook County (312) 503-5298
ANNE SORINE HENKEL MD
Internal Medicine
303 E CHICAGO AVE, 10-440 SEARLE
CHICAGO, IL 60611
Cook County (312) 503-4667
DR. MARC W SLUTZKY MD
Psychiatry & Neurology (Neurology)
303 E CHICAGO AVE, WARD 10-185
CHICAGO, IL 60611
Cook County (312) 695-7950
DR. HANNAH ALPHS M.D.
Urology
303 E CHICAGO AVE, TARRY 16-703
CHICAGO, IL 60611
Cook County (312) 908-8145
NORTHWESTERN UNIVERSITY
Clinical Medical Laboratory
303 E CHICAGO AVE, TARRY BUILDING, 11-703
CHICAGO, IL 60611
Cook County (312) 503-0830
WILLIAM KARPUS
Specialist/Technologist, Pathology
303 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 503-1004
BEVAN TANDON M.D.
Clinical Medical Laboratory
303 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 503-8223
KRISTY LUCILE WOLNIAK M.D., PH.D.
Pathology (Anatomic Pathology & Clinical Pathology)
303 E CHICAGO AVE, W127 WARD 6-223, NORTHWESTERN UNIVERSITY
CHICAGO, IL 60611
Cook County (312) 503-8144

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 Brian Bolton's NPI number?

The NPI number for Brian Bolton is 1073761128. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Brian Bolton located?

Brian Bolton practices at 303 E Chicago Ave Ward6-204, Chicago, IL 60611. The listed phone number is (312) 503-8144.

What is Brian Bolton's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Brian Bolton enrolled in Medicare?

Yes. Brian Bolton 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.

Which organization bills Medicare for Brian Bolton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Bolton reassigns Medicare benefits to Arlington Ridge Pathology Sc (Arlington Heights, IL). 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 Brian Bolton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brian Bolton affiliated with any hospitals?

According to CMS data, Brian Bolton is affiliated with Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Brian Bolton was last updated on September 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.