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MRS. DONNA MARIE BOLDEN MD
NPI 1194729111
Pediatrics in Proctorville, OH

Active since June 08, 2005PECOS Enrolled
10777 COUNTY ROAD 107, PROCTORVILLE, OH 45669(740) 302-0541 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2025, Jun 3, 2021, Sep 19, 2017 (3 updates tracked since 2017).

About Mrs. Donna Marie Bolden Md NPPES

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

MRS. DONNA MARIE BOLDEN MD (NPI 1194729111) is an individual pediatrics provider in Proctorville, Ohio, licensed in Kentucky (38597) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194729111
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. DONNA MARIE BOLDENCredential: MD
Location Address10777 COUNTY ROAD 107Proctorville, OH 45669-8130
Mailing Address305 N 5th StIronton, OH 45638-1578 · (740) 532-4858
Phone(740) 302-0541
Sole ProprietorNo
Enumeration DateJune 8, 2005
Last NPPES UpdateApril 8, 20253 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1194729111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 38597
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.
10777 COUNTY ROAD 107, Proctorville, OH 45669
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1115 N 3rd StIronton, OH 45638-1471 · Phone (740) 302-1777
Location 21408 Campbell DrIronton, OH 45638-2301 · Phone (740) 534-9195

Other Identifiers 4

Medicaid3418539OH
Other000000550503KY · Anthem Bcbs
Other00000328135KY · Anthem Bc/bs
Medicaid64066384KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Donna Marie Bolden Md 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 Reassignment

Medicare enrollment records show Donna Bolden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ironton & Lawrence County Area Community Action Organization
0.1 mi
Primary Care
10777 COUNTY ROAD 107
Proctorville, OH 45669
NPI 1700133204 (740) 302-0541

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 45669 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 6

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

RYAN DOUGLAS ANSELL
Social Worker
10777 COUNTY ROAD 107
PROCTORVILLE, OH 45669
Lawrence County (740) 302-0541
TAMELA R. KING C-FNP
Nurse Practitioner
10777 COUNTY ROAD 107
PROCTORVILLE, OH 45669
Lawrence County (740) 302-0541
IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Clinic/Center (Primary Care)
10777 COUNTY ROAD 107
PROCTORVILLE, OH 45669
Lawrence County (740) 302-0541
MRS. NANCY J LEWIS C.P.N.P.
Nurse Practitioner (Pediatrics)
10777 COUNTY ROAD 107
PROCTORVILLE, OH 45669
Lawrence County (740) 302-0541
IRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Clinic/Center (Federally Qualified Health Center (FQHC))
10777 COUNTY ROAD 107
PROCTORVILLE, OH 45669
Lawrence County (740) 302-0541
LARIN LYNN REARDEN LSW
Social Worker
10777 COUNTY ROAD 107
PROCTORVILLE, OH 45669
Lawrence County (740) 302-0541

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 Donna Bolden's NPI number?

The NPI number for Donna Bolden is 1194729111. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Donna Bolden located?

Donna Bolden practices at 10777 County Road 107, Proctorville, OH 45669. The listed phone number is (740) 302-0541.

What is Donna Bolden's specialty?

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

Is Donna Bolden enrolled in Medicare?

Yes. Donna Bolden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donna Bolden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Bolden reassigns Medicare benefits to Ironton & Lawrence County Area Community Action Organization (Proctorville, OH). The 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 Donna Bolden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Bolden accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia, MedMutual and Molina Healthcare and 3 other insurers list Donna Bolden 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 Donna Bolden was last updated on April 8, 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.