JODY ALLISON BOLTON SMITH M.D.
NPI 1306846076
Radiology - Diagnostic Radiology in Sartell, MN

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
75.22/100
CMS Quality Rating
1990 CONNECTICUT AVE S, SARTELL, MN 56377(320) 257-5595(320) 257-5596 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jody Allison Bolton Smith M.d. NPPES

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

JODY ALLISON BOLTON SMITH M.D. (NPI 1306846076) is an individual diagnostic radiology provider in Sartell, Minnesota, licensed in Minnesota (46527) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1999).

NPPES Registry Identity

NPI1306846076
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameJODY ALLISON BOLTON SMITHCredential: M.D.
Location Address1990 CONNECTICUT AVE SSartell, MN 56377-2554
Mailing AddressPo Box 7366Saint Cloud, MN 56302-7366 · (320) 257-5595 · Fax (320) 257-5596
Fax(320) 257-5596
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1999
Enumeration DateJuly 26, 2005
Last NPPES UpdateAugust 11, 2011
NPI 1306846076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MN · 46527
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1990 CONNECTICUT AVE S, Sartell, MN 56377

Other Identifiers 11

Other411772562MN · Tricare
Other131470C561MN · Ucare Of Minnesota
OtherHP44741MN · Health Partners
Medicare UPINI0702MN
Medicare ID-Type Unspecified300003456MN
Other2141654MN · Araz/ America's Ppo
Other284L1BOMN · Blue Cross Blue Shield
Other965251040913MN · Preferred One
Other16-03053MN · Medica
Other411772562MN · Greatwest Healthcare
Medicaid492485100MN

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

Jody Allison Bolton Smith 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 ID9234116880
PECOS Enrollment IDI20040701001188
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 78

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
448 services415 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
347 services347 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
337 services337 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
310 services303 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
211 services209 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
194 services188 patients

Hospital Affiliations CMS Care Compare 5

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Centracare Health System - Long Prairie

Critical Access Hospitals · Long Prairie, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241326
Location50 Centracare DriveLong Prairie, MN 56347 · Todd County
Emergency services Birthing friendly

Centracare Health Paynesville Hospital

Critical Access Hospitals · Paynesville, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241349
Location200 1st Street WestPaynesville, MN 56362 · Stearns County
Emergency services Birthing friendly

Cuyuna Regional Medical Center

Critical Access Hospitals · Crosby, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241353
Location320 East Main StreetCrosby, MN 56441 · Crow Wing County
Emergency services Birthing friendly

Centracare Health System - Sauk Centre

Critical Access Hospitals · Sauk Centre, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241368
Location425 North Elm StreetSauk Centre, MN 56378 · Stearns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56377 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

75.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90
Improvement Activities0
Cost72.71

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.

Radiology (Diagnostic Radiology)
1990 CONNECTICUT AVE S
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
1990 CONNECTICUT AVE S
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
1990 CONNECTICUT AVE S
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
1990 CONNECTICUT AVE S
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
1990 CONNECTICUT AVE S
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
1990 CONNECTICUT AVE S
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
1990 CONNECTICUT AVE S
SARTELL, MN 56377
Radiology (Diagnostic Radiology)
1990 CONNECTICUT AVE S
SARTELL, MN 56377

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306846076, enumerated as an "individual" on July 26, 2005.

The provider is located at 1990 CONNECTICUT AVE S SARTELL, MN 56377 and the phone number is (320) 257-5595.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Tricare, Medicare, Medicaid, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Jody Bolton Smith is affiliated with: ST CLOUD HOSPITAL, CENTRACARE HEALTH SYSTEM - LONG PRAIRIE, CENTRACARE HEALTH PAYNESVILLE HOSPITAL, CUYUNA REGIONAL MEDICAL CENTER and CENTRACARE HEALTH SYSTEM - SAUK CENTRE.