DR. JAMES M BOLER MD
NPI 1245221928
Orthopaedic Surgery - Hand Surgery in Schenectady, NY

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
500 STATE ST, SCHENECTADY, NY 12305(518) 489-2663(518) 689-3881 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2025, Dec 7, 2023, Mar 7, 2023 and 2 more (5 updates tracked since 2022).

About Dr. James M Boler Md NPPES

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

DR. JAMES M BOLER MD (NPI 1245221928) is an individual hand surgery provider in Schenectady, New York, licensed in New York (236053) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and is a graduate of University Of Maryland School Of Medicine (1995).

NPPES Registry Identity

NPI1245221928
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. JAMES M BOLERCredential: MD
Location Address500 STATE STSchenectady, NY 12305-2414
Mailing Address121 Everett RdAlbany, NY 12205-1474 · (518) 489-2663 · Fax (518) 689-3881
Fax(518) 689-3881
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1995
Enumeration DateNovember 2, 2005
Last NPPES UpdateMay 28, 20255 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
NPI 1245221928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in NY · 236053
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 236053 (NY)
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 236053 (NY)
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 236053 (NY)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 236053 (NY)
500 STATE ST, Schenectady, NY 12305

Other Identifiers 1

Medicaid02682451NY

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

Dr. James M Boler 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 ID5991741555
PECOS Enrollment IDI20050705000820
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 24

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
179 services129 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
164 services99 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
139 services139 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
137 services95 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
105 services88 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
103 services86 patients

Hospital Affiliations CMS Care Compare 2

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

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Sunnyview Hospital And Rehabilitation Center

Acute Care Hospitals · Schenectady, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number330406
Location1270 Belmont AvenueSchenectady, NY 12308 · Schenectady County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12305 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier27 claims33 services$56.17 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier12 claims13 services$61.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

Physician Assistant (Surgical)
500 STATE ST
SCHENECTADY, NY 12305
Physician Assistant (Surgical)
500 STATE ST
SCHENECTADY, NY 12305
Physician Assistant (Surgical)
500 STATE ST
SCHENECTADY, NY 12305
Physician Assistant (Surgical)
500 STATE ST
SCHENECTADY, NY 12305
Orthopaedic Surgery
500 STATE ST
SCHENECTADY, NY 12305
Physician Assistant (Surgical)
500 STATE ST
SCHENECTADY, NY 12305
Physician Assistant (Surgical)
500 STATE ST
SCHENECTADY, NY 12305
Orthopaedic Surgery
500 STATE ST
SCHENECTADY, NY 12305

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 James Boler's NPI number?

The NPI number for James Boler is 1245221928. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is James Boler located?

James Boler practices at 500 State St, Schenectady, NY 12305. The listed phone number is (518) 489-2663.

What is James Boler's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is James Boler enrolled in Medicare?

Yes. James Boler 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.

Is James Boler affiliated with any hospitals?

According to CMS data, James Boler is affiliated with Ellis Hospital and Sunnyview Hospital And Rehabilitation Center.

When was this NPI record last updated?

The NPPES record for James Boler was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.