JAMES A BOLES MD
NPI 1093752412
Internal Medicine in Mankato, MN

Q: What is James Boles's NPI number?

The NPI number for James Boles is 1093752412. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Q: What is James Boles's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for James Boles was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 02, 2006PECOS EnrolledAccepts Medicare Assignment

1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 28, 2022, Oct 16, 2020 (2 updates tracked since 2020).

On this page

About James A Boles Md NPPES

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

JAMES A BOLES MD (NPI 1093752412) is an individual internal medicine provider in Mankato, Minnesota, licensed in Minnesota (48428) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and maintains a secondary practice location in Mankato.

NPPES Registry Identity

NPI1093752412

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAMES A BOLESCredential: MD

Location Address1025 MARSH STMankato, MN 56001-4752

Mailing Address1025 Marsh StMankato, MN 56001-4752 · (507) 625-1811

Phone(507) 625-4031

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2003

Enumeration DateJune 2, 2006

Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration

NPPES CertifiedJuly 28, 2022

✔ NPI 1093752412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MN · 48428

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1025 MARSH ST, Mankato, MN 56001

Open in Google Maps ↗

Secondary Practice Location 1

Location 11230 E Main Street, Mankato Clinic Main StreetMankato, MN 56001 · Phone (507) 625-1811

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

James A Boles Md 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 ID9335151547

PECOS Enrollment IDI20060706000199

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 3

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

361 services159 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

67 services67 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.

22 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240093

Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County

Emergency services Birthing friendly

Mayo Clinic Health System St. James

Critical Access Hospitals · St James, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241333

Location1101 Moulton And Parsons DriveSt James, MN 56081 · Watonwan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

KRISTIN MARIE CLIFFORD CNP

Nurse Practitioner