JACOB ALLEN BOLT MD
NPI 1174184931
Emergency Medicine in Fort Smith, AR

Q: What is Jacob Bolt's NPI number?

The NPI number for Jacob Bolt is 1174184931. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Q: What is Jacob Bolt's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Bolt was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 24, 2019PECOS EnrolledAccepts Medicare Assignment

1001 TOWSON AVE, FORT SMITH, AR 72901(479) 441-5011(479) 441-4932 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2022, Jul 28, 2022 (2 updates tracked since 2022).

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About Jacob Allen Bolt Md NPPES

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

JACOB ALLEN BOLT MD (NPI 1174184931) is an individual emergency medicine provider in Fort Smith, Arkansas, licensed in Arkansas (E-13356) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2019).

NPPES Registry Identity

NPI1174184931

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJACOB ALLEN BOLTCredential: MD

Location Address1001 TOWSON AVEFort Smith, AR 72901-4921

Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (479) 441-5011 · Fax (479) 441-4932

Phone(479) 441-5011

Fax(479) 441-4932

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2019

Enumeration DateJune 24, 2019

Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration

NPPES CertifiedDecember 20, 2022

✔ NPI 1174184931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in AR · E-13356

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License E-13356 (AR), 2019022911 (MO)

1001 TOWSON AVE, Fort Smith, AR 72901

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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

Jacob Allen Bolt 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 ID345630935

PECOS Enrollment IDI20211214002990

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

74 services70 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

62 services57 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72901 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

FT SMITH HMA PBC MANAGEMENT, LLC

Internal Medicine (Pulmonary Disease)