BETSY JO BOLTON PA-C
NPI 1144574997
Physician Assistant - Surgical in Clive, IA

Q: What is Betsy Bolton's NPI number?

The NPI number for Betsy Bolton is 1144574997. It was assigned to this individual provider in the NPPES registry on November 1, 2012.

Q: What is Betsy Bolton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Betsy Bolton was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 01, 2012PECOS EnrolledAccepts Medicare Assignment

12499 UNIVERSITY AVE STE 210, CLIVE, IA 50325(515) 440-2676(515) 440-2677 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Oct 18, 2021 (2 updates tracked since 2021).

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About Betsy Jo Bolton Pa-c NPPES

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

BETSY JO BOLTON PA-C (NPI 1144574997) is an individual surgical provider in Clive, Iowa, licensed in Iowa (002351) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1144574997

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameBETSY JO BOLTONCredential: PA-C

Location Address12499 UNIVERSITY AVE STE 210Clive, IA 50325-8288

Mailing Address2425 Westown Pkwy Ste 100West Des Moines, IA 50266-1425 · (515) 267-1819 · Fax (515) 401-1313

Phone(515) 440-2676

Fax(515) 440-2677

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateNovember 1, 2012

Last NPPES UpdateJune 13, 20242 updates tracked since enumeration

NPPES CertifiedJune 13, 2024

✔ NPI 1144574997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IA · 002351

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 002351 (IA)

12499 UNIVERSITY AVE STE 210, Clive, IA 50325

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Betsy Jo Bolton Pa-c 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 ID2567616550

PECOS Enrollment IDI20130128000426

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 16

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

163 services45 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

133 services115 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

94 services66 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

75 services55 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

63 services41 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

60 services46 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

47 services46 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

46 services32 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

33 services30 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

27 services26 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

21 services16 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

16 services15 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

13 services13 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

13 services13 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

11 services11 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160083

Location1111 6th AveDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

Broadlawns Medical Center

Acute Care Hospitals · Des Moines, IA

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number160101

Location1801 Hickman RoadDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

Knoxville Hospital & Clinics

Critical Access Hospitals · Knoxville, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161355

Location1002 South Lincoln StreetKnoxville, IA 50138 · Marion County

Emergency services

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JASON MICHAEL GRAHAM ATC, LAT

Specialist/Technologist (Athletic Trainer)