DR. DANIEL JEFFREY BOULTER M.D.
NPI 1114199197
Radiology - Diagnostic Radiology in Columbus, OH

Active since March 30, 2008PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
395 W 12TH AVE, RM 460, COLUMBUS, OH 43210(614) 293-8315(614) 293-6935 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Daniel Jeffrey Boulter M.d. NPPES

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

DR. DANIEL JEFFREY BOULTER M.D. (NPI 1114199197) is an individual diagnostic radiology provider in Columbus, Ohio, licensed in Ohio (35123344) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Ohio Medical University (2007).

NPPES Registry Identity

NPI1114199197
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DANIEL JEFFREY BOULTERCredential: M.D.
Location Address395 W 12TH AVE, RM 460Columbus, OH 43210-1267
Mailing Address395 W 12th Ave, Rm 460Columbus, OH 43210-1267 · (614) 293-8315 · Fax (614) 293-6935
Fax(614) 293-6935
Sole ProprietorNo
Medical School CMSOhio Medical UniversityGraduated 2007
Enumeration DateMarch 30, 2008
Last NPPES UpdateMay 27, 2014
NPI 1114199197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in OH · 35123344 Licensed in MA · 249788 Licensed in SC · 30836
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
395 W 12TH AVE, Columbus, OH 43210

Accepted 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

Dr. Daniel Jeffrey Boulter 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 ID3274702766
PECOS Enrollment IDI20140623001556
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 25

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
153 services136 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
98 services97 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
49 services48 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
49 services49 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
47 services46 patients
Ct scan of soft tissue of neck with contrast 70491
A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.
45 services45 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
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.

Student in an Organized Health Care Education/Training Program
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Vascular & Interventional Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Surgery
395 W 12TH AVE
COLUMBUS, OH 43210

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 Daniel Boulter's NPI number?

The NPI number for Daniel Boulter is 1114199197. It was assigned to this individual provider in the NPPES registry on March 30, 2008.

Where is Daniel Boulter located?

Daniel Boulter practices at 395 W 12th Ave Rm 460, Columbus, OH 43210. The listed phone number is (614) 293-8315.

What is Daniel Boulter's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Daniel Boulter enrolled in Medicare?

Yes. Daniel Boulter 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.

What insurance does Daniel Boulter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Daniel Boulter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniel Boulter affiliated with any hospitals?

According to CMS data, Daniel Boulter is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Daniel Boulter was last updated on May 27, 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.