JAMES R LEBOLT DO
NPI 1245331941
Orthopaedic Surgery - Sports Medicine in Grand Rapids, MI

Q: What is James Lebolt's NPI number?

The NPI number for James Lebolt is 1245331941. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is James Lebolt's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for James Lebolt was last updated on November 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2770 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 267-8860(616) 267-8442 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2024, Feb 22, 2021, Mar 24, 2016 (3 updates tracked since 2016).

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About James R Lebolt Do NPPES

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

JAMES R LEBOLT DO (NPI 1245331941) is an individual sports medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101015061) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of West Virginia School Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1245331941

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameJAMES R LEBOLTCredential: DO

Location Address2770 E BELTLINE AVE NEGrand Rapids, MI 49525-8614

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 267-8860

Fax(616) 267-8442

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2001

Enumeration DateSeptember 26, 2006

Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1245331941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in MI · 5101015061

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

2770 E BELTLINE AVE NE, Grand Rapids, MI 49525

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

James R Lebolt Do 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 ID6507865565

PECOS Enrollment IDI20110718000759

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services23 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

18 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

VANESSA RAE SMITKO NP-C

Nurse Practitioner (Family)