DR. DOUGLAS BOLDA M.D.
NPI 1174519458
Orthopaedic Surgery in Corydon, IN
About Dr. Douglas Bolda M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOUGLAS BOLDA M.D. (NPI 1174519458) is an individual orthopaedic surgery provider in Corydon, Indiana, licensed in Indiana (01048624A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Douglas Bolda M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Douglas Bolda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Corydon, IN 47112
- Reassigned Medicare billing, Indiana enrollment
- 73 clinicians in this Medicare group
Tomah, WI 54660
- Reassigned Medicare billing, Wisconsin enrollment
- 249 clinicians in this Medicare group
Tohatchi, NM 87325
- Reassigned Medicare billing, Texas enrollment
- 618 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORYDON, IN 47112
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 Douglas Bolda's NPI number?
The NPI number for Douglas Bolda is 1174519458. It was assigned to this individual provider in the NPPES registry on September 22, 2005.
Where is Douglas Bolda located?
Douglas Bolda practices at 1263 Hospital Dr NW Ste 105, Corydon, IN 47112. The listed phone number is (812) 738-4251.
What is Douglas Bolda's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Douglas Bolda enrolled in Medicare?
Yes. Douglas Bolda is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Douglas Bolda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Bolda reassigns Medicare benefits to 3 organizations: Harrison County Hospital (Corydon, IN), Tomah Memorial Hospital Inc (Tomah, WI) and Dhhs, Phs, Naihs, Gallup Indian Medical Center (Tohatchi, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Bolda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Bolda accept?
Health plans from CareSource list Douglas Bolda 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.
When was this NPI record last updated?
The NPPES record for Douglas Bolda was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Dr. Douglas Bolda, M.D. · NPI 1174519458
Orthopaedic Surgery physician in Corydon, Indiana. Individual provider, active in the CMS NPPES registry since September 22, 2005.
## Identity
- **NPI:** 1174519458 (Entity type: Individual)
- **Enumerated:** September 22, 2005
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 01048624A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1263 HOSPITAL DR NW STE 105, Corydon, IN 47112-2173
- **Phone:** (812) 738-4251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Harrison County Hospital (NPI 1447497623, Corydon, IN); Tomah Memorial Hospital Inc (NPI 1992970453, Tomah, WI); Dhhs, Phs, Naihs, Gallup Indian Medical Center (NPI 1902875594, Tohatchi, NM) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2025
- **Other identifiers:** Medicaid 200804530 (IN); Medicaid 1174519458 (WI); Other 000000391438 (IN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1174519458) · Data from the CMS NPPES public registry.