EMILY J BOLTON MD
NPI 1285124958
Dermatology in Portland, OR
About Emily J Bolton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY J BOLTON MD (NPI 1285124958) is an individual dermatology provider in Portland, Oregon, licensed in Oregon (MD211364) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Creighton University School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Emily J Bolton 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.
Medicare Billing Reassignment
Medicare enrollment records show Emily Bolton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97209
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
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 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Emily Bolton's NPI number?
The NPI number for Emily Bolton is 1285124958. It was assigned to this individual provider in the NPPES registry on May 17, 2018.
Where is Emily Bolton located?
Emily Bolton practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8652.
What is Emily Bolton's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Emily Bolton enrolled in Medicare?
Yes. Emily 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.
Which organization bills Medicare for Emily Bolton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Bolton reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). 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 Emily Bolton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Emily Bolton accept?
Health plans from Kaiser Permanente list Emily 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.
When was this NPI record last updated?
The NPPES record for Emily Bolton was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Emily J Bolton, MD · NPI 1285124958
Dermatology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since May 17, 2018.
## Identity
- **NPI:** 1285124958 (Entity type: Individual)
- **Enumerated:** May 17, 2018
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** MD211364 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3098
- **Phone:** (503) 494-8652
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1649722034, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** October 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1285124958) · Data from the CMS NPPES public registry.