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GAIL BOLTRON D.O.
NPI 1184005365
Pediatrics in Tucson, AZ

Active since June 14, 2015PECOS Enrolled
1501 N CAMPBELL AVE, TUCSON, AZ 85724(520) 694-7432(520) 694-6688 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gail Boltron D.o. NPPES

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

GAIL BOLTRON D.O. (NPI 1184005365) is an individual pediatrics provider in Tucson, Arizona, licensed in Arizona (R2487) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184005365
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGAIL BOLTRONCredential: D.O.
Location Address1501 N CAMPBELL AVETucson, AZ 85724-5073
Mailing Address9003 Princeton WayBuena Park, CA 90620-4639 · (714) 906-4218
Phone(520) 694-7432
Fax(520) 694-6688
Sole ProprietorYes
Enumeration DateJune 14, 2015
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1184005365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in AZ · R2487✔ Licensed in HI · DOS-1914
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1501 N CAMPBELL AVE, Tucson, AZ 85724
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gail Boltron D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Gail Boltron reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hilo Benioff Medical Center
2,858 mi
General Acute Care Hospital
1190 WAIANUENUE AVE
Hilo, HI 96720
  • Reassigned Medicare billing, Hawaii enrollment
  • 263 clinicians in this Medicare group
NPI 1780757856 (808) 932-3000
Queens North Hawaii Community Hospital
2,881 mi
Home Health
67-1125 MAMALAHOA HWY
Kamuela, HI 96743
  • Reassigned Medicare billing, Hawaii enrollment
  • 277 clinicians in this Medicare group
NPI 1124009584 (808) 881-4400
The Queens Medical Center
2,963 mi
Urgent Care
377 KEAHOLE ST STE E108E109
Honolulu, HI 96825
  • Reassigned Medicare billing, Hawaii enrollment
  • 809 clinicians in this Medicare group
NPI 1528691383 (808) 735-0007
Queens University Medical Group
2,970 mi
Multi-Specialty
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 859 clinicians in this Medicare group
NPI 1891441382 (808) 691-1000
Primary Care Physician Enterprise LLC
2,980 mi
Clinic/Center
91-6390 KAPOLEI PKWY
Ewa Beach, HI 96706
  • Reassigned Medicare billing, Hawaii enrollment
  • 40 clinicians in this Medicare group
NPI 1164054763 (808) 691-4600

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 85724 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

MR. DOUGLAS FRANK LARSON PH.D.
Perfusionist
1501 N CAMPBELL AVE, SUITE 4402 ARIZONA HEALTH SCIENCE CENTER
TUCSON, AZ 85724
Pima County (520) 626-6339
MARTIN DEMANT
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 626-6507
STEPHANIE RUNKE MD
Obstetrics & Gynecology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-2530
ASHLEY AZIZI ASSADI MD
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 626-7944
STUART HAMEROFF MD
Anesthesiology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-8888
JOHN GUISTO MD
Emergency Medicine
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 874-3500
BALDASSARRE STEA MD, PHD
Radiology (Radiation Oncology)
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-7236
NAOMI E RANCE MD, PHD
Pathology (Neuropathology)
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 874-7400

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 Gail Boltron's NPI number?

The NPI number for Gail Boltron is 1184005365. It was assigned to this individual provider in the NPPES registry on June 14, 2015.

Where is Gail Boltron located?

Gail Boltron practices at 1501 N Campbell Ave, Tucson, AZ 85724. The listed phone number is (520) 694-7432.

What is Gail Boltron's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gail Boltron enrolled in Medicare?

Yes. Gail Boltron is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gail Boltron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gail Boltron reassigns Medicare benefits to 5 organizations: Hilo Benioff Medical Center (Hilo, HI), Queens North Hawaii Community Hospital (Kamuela, HI), The Queens Medical Center (Honolulu, HI), Queens University Medical Group (Honolulu, HI) and Primary Care Physician Enterprise LLC (Ewa Beach, HI). 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 Gail Boltron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gail Boltron accept?

Health plans from HMSA list Gail Boltron 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 Gail Boltron was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.