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ANTHONY A BOULDIN MD
NPI 1164503413
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Seattle, WA

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
600 BROADWAY STE 400, SEATTLE, WA 98122(206) 215-1440(206) 215-1441 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anthony A Bouldin Md NPPES

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

ANTHONY A BOULDIN MD (NPI 1164503413) is an individual neurology with special qualifications in child neurology provider in Seattle, Washington, licensed in Washington (MD00042649) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and is a graduate of University Of Louisville School Of Medicine (1997).

NPPES Registry Identity

NPI1164503413
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameANTHONY A BOULDINCredential: MD
Location Address600 BROADWAY STE 400Seattle, WA 98122-5312
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Phone(206) 215-1440
Fax(206) 215-1441
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1997
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 17, 2018
✔ NPI 1164503413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in WA · MD00042649
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License MD00042649 (WA)
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License MD00042649 (WA)
600 BROADWAY STE 400, Seattle, WA 98122
Open in Google Maps ↗

Other Identifiers 2

Other262640Internal Id-motor Vehicle Id
Medicaid8369795WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Anthony A Bouldin 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 ID7214997931
PECOS Enrollment IDI20041015000825
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 6

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.

Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) G0453
Continuous intraoperative neurophysiology monitoring is a service where a specialist oversees your nervous system's function during surgery, from a nearby or remote location. This is done every 15 minutes and is focused solely on you. It helps ensure surgical safety by identifying any potential nervous system changes promptly.
156 services36 patients
Testing of nerve-muscle junction 95937
Testing of the nerve-muscle junction, also known as Electromyography (EMG), is a diagnostic procedure to evaluate the health of muscles and the nerve cells that control them. It involves a small device detecting electrical activity from your muscles to identify potential issues.
88 services25 patients
Placement of skin electrodes and measurement of stimulated sites on arms and legs 95938
This procedure involves placing small pads (electrodes) on your arms and legs. These electrodes send gentle electric signals to specific areas, and the responses are measured. This helps assess the health of your nerves and muscles.
35 services35 patients
Measurement of brain wave activity (eeg) outside the brain during surgery 95955
An EEG (Electroencephalogram) during surgery monitors brain activity. Electrodes on the scalp record brain wave patterns, helping doctors ensure the brain is functioning normally throughout the procedure.
34 services34 patients
Placement of skin electrodes and measurement of central motor stimulation in arms and legs 95939
This procedure involves placing small patches (electrodes) on your skin over your arms and legs. These electrodes send harmless electrical signals to your muscles. The response is measured to assess the health and function of your nerves and muscles.
31 services31 patients
Needle measurement of electrical activity in arm or leg muscles, 2 extremities 95861
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. It helps diagnose conditions affecting nerves or muscles. It's generally painless, though you may feel some discomfort.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98122 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Other Providers at the Same Location NPPES 2

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

MARCIO A SOTERO DE MENEZES MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
600 BROADWAY STE 400
SEATTLE, WA 98122
King County (206) 215-1440
MS. YAN SHEN ARNP, DNP
Nurse Practitioner (Women's Health)
600 BROADWAY STE 400
SEATTLE, WA 98122
King County (206) 215-9071

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 Anthony Bouldin's NPI number?

The NPI number for Anthony Bouldin is 1164503413. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Anthony Bouldin located?

Anthony Bouldin practices at 600 Broadway Ste 400, Seattle, WA 98122. The listed phone number is (206) 215-1440.

What is Anthony Bouldin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Anthony Bouldin enrolled in Medicare?

Yes. Anthony Bouldin 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 Anthony Bouldin accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Anthony Bouldin 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 Anthony Bouldin affiliated with any hospitals?

According to CMS data, Anthony Bouldin is affiliated with Swedish Medical Center / Cherry Hill and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Anthony Bouldin was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.