DR. ANDREW B. BOLDREY MD
NPI 1306824735
Pediatrics in Sikeston, MO

Q: What is Andrew Boldrey's NPI number?

The NPI number for Andrew Boldrey is 1306824735. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Q: What is Andrew Boldrey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Boldrey was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 05, 2006PECOS Enrolled

1012 N MAIN ST, SIKESTON, MO 63801(573) 431-0330(573) 471-0461 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Andrew B. Boldrey Md NPPES

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

DR. ANDREW B. BOLDREY MD (NPI 1306824735) is an individual pediatrics provider in Sikeston, Missouri, licensed in Missouri (2005022494) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306824735

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. ANDREW B. BOLDREYCredential: MD

Location Address1012 N MAIN STSikeston, MO 63801-5044

Mailing AddressPo Box 801143Kansas City, MO 64180-1143 · (573) 331-5583 · Fax (573) 331-5079

Phone(573) 431-0330

Fax(573) 471-0461

Sole ProprietorNo

Enumeration DateJanuary 5, 2006

Last NPPES UpdateJanuary 14, 2021

NPPES CertifiedJanuary 14, 2021

✔ NPI 1306824735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 2005022494

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.

1012 N MAIN ST, Sikeston, MO 63801

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Other Identifiers 4

Other730776MO · Healthlink

Other199827MO · Bcbs Mo Number

Medicaid207266701MO

Other430741410MO · First Health Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew B. Boldrey 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63801 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 20

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

BRITTANY LYNN DELAUGHTER FNP-C

Nurse Practitioner (Family)