THOMAS B BOLTON M.D.
NPI 1245305341
Emergency Medicine in Roanoke, VA

Active since November 22, 2006PECOS EnrolledAccepts Medicare Assignment
89.3/100
CMS Quality Rating
1906 BELLEVIEW AVE SE, EMERGENCY DEPT, ROANOKE, VA 24014(540) 981-7000(540) 981-9550 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas B Bolton M.d. NPPES

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

THOMAS B BOLTON M.D. (NPI 1245305341) is an individual emergency medicine provider in Roanoke, Virginia, licensed in Virginia (0101046929) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1985).

NPPES Registry Identity

NPI1245305341
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS B BOLTONCredential: M.D.
Location Address1906 BELLEVIEW AVE SE, EMERGENCY DEPTRoanoke, VA 24014-1838
Mailing AddressPo Box 2080Kilmarnock, VA 22482-2080 · (804) 435-3508
Fax(540) 981-9550
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1985
Enumeration DateNovember 22, 2006
Last NPPES UpdateMay 20, 2008
NPI 1245305341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in VA · 0101046929
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.

1906 BELLEVIEW AVE SE, Roanoke, VA 24014

Other Identifiers 7

Medicare PINP00008116
Medicaid005882290VA
Medicaid1807923001WV
Medicare PIN000854C51
Medicaid010046181VA
Medicare UPINB65000
Medicaid010046165VA

Accepted 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

Thomas B Bolton M.d. 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 ID5496805889
PECOS Enrollment IDI20160330002040
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 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.
25 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services13 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

North Mississippi Medical Center-Gilmore Amory

Acute Care Hospitals · Amory, MS
4/5 CMS rating
OwnershipProprietary
CMS Certification Number250025
Location1105 Earl Frye BlvdAmory, MS 38821 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

89.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.55
Improvement Activities40
Cost100

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.

Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Family Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014

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 Thomas Bolton's NPI number?

The NPI number for Thomas Bolton is 1245305341. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Thomas Bolton located?

Thomas Bolton practices at 1906 Belleview Ave SE Emergency Dept, Roanoke, VA 24014. The listed phone number is (540) 981-7000.

What is Thomas Bolton's specialty?

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

Is Thomas Bolton enrolled in Medicare?

Yes. Thomas Bolton 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.

What insurance does Thomas Bolton accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Thomas Bolton 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.

Is Thomas Bolton affiliated with any hospitals?

According to CMS data, Thomas Bolton is affiliated with North Mississippi Medical Center and North Mississippi Medical Center-Gilmore Amory.

When was this NPI record last updated?

The NPPES record for Thomas Bolton was last updated on May 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.